WorldWideScience

Sample records for tribal connections health

  1. Health Disparities Research Among Small Tribal Populations: Describing Appropriate Criteria for Aggregating Tribal Health Data.

    Science.gov (United States)

    Van Dyke, Emily R; Blacksher, Erika; Echo-Hawk, Abigail L; Bassett, Deborah; Harris, Raymond M; Buchwald, Dedra S

    2016-07-01

    In response to community concerns, we used the Tribal Participatory Research framework in collaboration with 5 American-Indian communities in Washington, Idaho, and Montana to identify the appropriate criteria for aggregating health data on small tribes. Across tribal sites, 10 key informant interviews and 10 focus groups (n = 39) were conducted between July 2012 and April 2013. Using thematic analysis of focus group content, we identified 5 guiding criteria for aggregating tribal health data: geographic proximity, community type, environmental exposures, access to resources and services, and economic development. Preliminary findings were presented to focus group participants for validation at each site, and a culminating workshop with representatives from all 5 tribes verified our final results. Using this approach requires critical assessment of research questions and study designs by investigators and tribal leaders to determine when aggregation or stratification is appropriate and how to group data to yield robust results relevant to local concerns. At project inception, tribal leaders should be consulted regarding the validity of proposed groupings. After regular project updates, they should be consulted again to confirm that findings are appropriately contextualized for dissemination. © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Access to Federal Employees Health Benefits (FEHB) for Employees of Certain Indian Tribal Employers. Final rule.

    Science.gov (United States)

    2016-12-28

    This final rule makes Federal employee health insurance accessible to employees of certain Indian tribal entities. Section 409 of the Indian Health Care Improvement Act (codified at 25 U.S.C. 1647b) authorizes Indian tribes, tribal organizations, and urban Indian organizations that carry out certain programs to purchase coverage, rights, and benefits under the Federal Employees Health Benefits (FEHB) Program for their employees. Tribal employers and tribal employees will be responsible for the full cost of benefits, plus an administrative fee.

  3. A Framework for Culturally Relevant Online Learning: Lessons from Alaska's Tribal Health Workers.

    Science.gov (United States)

    Cueva, Katie; Cueva, Melany; Revels, Laura; Lanier, Anne P; Dignan, Mark; Viswanath, K; Fung, Teresa T; Geller, Alan C

    2018-03-22

    Culturally relevant health promotion is an opportunity to reduce health inequities in diseases with modifiable risks, such as cancer. Alaska Native people bear a disproportionate cancer burden, and Alaska's rural tribal health workers consequently requested cancer education accessible online. In response, the Alaska Native Tribal Health Consortium cancer education team sought to create a framework for culturally relevant online learning to inform the creation of distance-delivered cancer education. Guided by the principles of community-based participatory action research and grounded in empowerment theory, the project team conducted a focus group with 10 Alaska Native education experts, 12 culturally diverse key informant interviews, a key stakeholder survey of 62 Alaska Native tribal health workers and their instructors/supervisors, and a literature review on distance-delivered education with Alaska Native or American Indian people. Qualitative findings were analyzed in Atlas.ti, with common themes presented in this article as a framework for culturally relevant online education. This proposed framework includes four principles: collaborative development, interactive content delivery, contextualizing learning, and creating connection. As an Alaskan tribal health worker shared "we're all in this together. All about conversations, relationships. Always learn from you/with you, together what we know and understand from the center of our experience, our ways of knowing, being, caring." The proposed framework has been applied to support cancer education and promote cancer control with Alaska Native people and has motivated health behavior change to reduce cancer risk. This framework may be adaptable to other populations to guide effective and culturally relevant online interventions.

  4. Utilization of maternal health-care services by tribal women in Kerala.

    Science.gov (United States)

    Jose, Jinu Annie; Sarkar, Sonali; Kumar, S Ganesh; Kar, Sitanshu Sekhar

    2014-01-01

    The coverage of maternal care services among the tribal women in Kerala is better as compared to other states in India. This study was done to identify the factors contributing to better coverage of maternal care services among the tribal women in Kerala and to study the reasons for remaining differences that exists in utilization of services between tribal and non-tribal pregnant women. This was a descriptive cum qualitative study conducted in Thariode Gramapanchayat in the Wayanad district of Kerala. Among all women who had registered their pregnancies in the 5 sub-centres under CHC Thariode and had delivered between September 2009 and October 2010, equal numbers of tribal and non-tribal ante-natal women, 35 each were interviewed in-depth using a semi-structured questionnaire. Quantitative data was analysed using SPSS Version 16.0. Content analysis was done for qualitative data. The determinants of utilization in tribal women were general awareness, affordability, accessibility and quality of services along with motivation by health workers. Among tribal antenatal women, 85% utilized maternal health care facilities fully compared to 100% among non-tribal women. Lower levels of education and lack of transport facilities were prime factors contributing to under utilization by tribal women. Affordable, accessible and good quality of services in the public health system in Kerala and motivation by health workers were important contributing factors for better utilization of maternal care services.

  5. Responding to Public Health Emergencies on Tribal Lands: Jurisdictional Challenges and Practical Solutions.

    Science.gov (United States)

    Barnard, Justin B

    2015-01-01

    Response to public health emergencies on tribal lands poses a unique challenge for state and tribal public health officials. The complexity and intensely situation-specific nature of federal Indian jurisprudence leaves considerable question as to which government entity, state or tribal, has jurisdiction on tribal lands to undertake basic emergency measures such as closure of public spaces, quarantine, compulsory medical examination, and investigation. That jurisdictional uncertainty, coupled with cultural differences and an often troubled history of tribal-state relations, threatens to significantly impede response to infectious disease outbreaks or other public health emergencies on tribal lands. Given that tribal communities may be disproportionately impacted by public health emergencies, it is critical that tribal, state, and local governments engage with each other in coordinated planning for public health threats. This Article is offered as a catalyst for such planning efforts. The Article identifies some of the most pressing jurisdictional issues that may confront governments responding to a public health emergency on tribal lands, with the aim of highlighting the nature of the problem and the need for action. The Article goes on to examine the most promising means of addressing jurisdictional uncertainty: intergovernmental agreements. Already utilized in many areas of shared interest between tribe and state, intergovernmental agreements offer neighboring state, local, and tribal governments a vehicle for delineating roles and authorities in an emergency, and may lay the groundwork for sharing resources. The Article surveys various representative tribal public health intergovernmental agreements, and concludes with suggestions for tribes and state or local governments looking to craft their own agreements.

  6. Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration)

    DEFF Research Database (Denmark)

    Anderson, Ian; Robson, Bridget; Connolly, Michele

    2016-01-01

    BACKGROUND: International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populat...

  7. Nutritional and health status of adult women of the Lodha tribal ...

    African Journals Online (AJOL)

    Nutritional and health status of adult women of the Lodha tribal population of Paschim Midnapore, West Bengal, India: Compared with nontribal women. ... Results: The results indicated that the Lodha women belong to poor socioeconomic ...

  8. Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation

    Directory of Open Access Journals (Sweden)

    Vanessa Y. Hiratsuka

    2017-10-01

    Full Text Available Alaska Native (AN and American Indian (AI people are underrepresented in health research, yet many decline to participate in studies due to past researcher misconduct. Southcentral Foundation (SCF, an Alaska Native-owned and operated health care organization, is transforming the relationship between researchers and the tribal community by making trust and accountability required features of health research in AN/AI communities. In 1998, SCF assumed ownership from the federal government of health services for AN/AI people in south central Alaska and transformed the health system into a relationship-based model of care. This change reimagines how researchers interact with tribal communities and established community oversight of all health research conducted with AN/AI people in the region. We describe the SCF research review process, which requires tribal approval of the research concept, full proposal, and dissemination products, as well as local institutional review board approval, and a researcher-signed contract. This review evaluates research through the lens of tribal principles, practices, and priorities. The SCF example provides a framework for other tribes and organizations seeking to reshape the future of health research in AN/AI communities.

  9. Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation

    OpenAIRE

    Vanessa Y. Hiratsuka; Julie A. Beans; Renee F. Robinson; Jennifer L. Shaw; Ileen Sylvester; Denise A. Dillard

    2017-01-01

    Alaska Native (AN) and American Indian (AI) people are underrepresented in health research, yet many decline to participate in studies due to past researcher misconduct. Southcentral Foundation (SCF), an Alaska Native-owned and operated health care organization, is transforming the relationship between researchers and the tribal community by making trust and accountability required features of health research in AN/AI communities. In 1998, SCF assumed ownership from the federal government of ...

  10. The income and health effects of tribal casino gaming on American Indians.

    Science.gov (United States)

    Wolfe, Barbara; Jakubowski, Jessica; Haveman, Robert; Courey, Marissa

    2012-05-01

    The legalization of American Indian casino gaming in the late 1980s allows examination of the relationship between income and health in a quasi-experimental way. Revenue from gaming accrues to individual tribes and has been used both to supplement tribe members' income and to finance tribal infrastructure. We assembled annual data from 1988-2003 on tribal gaming, health care access (from the Area Resource File), and individual health and socioeconomic characteristics data (from the Behavioral Risk Factors Surveillance System). We use this information within a structural, difference-in-differences framework to study the effect of casino gaming on tribal members' income, health status, access to health care, and health-related behaviors. Our difference-in-differences framework relies on before-after comparisons among American Indians whose tribe has at some time operated a casino and with-without comparisons between American Indians whose tribe has and those whose tribe has not initiated gaming. Our results provide identified estimates of the positive effect of gaming on American Indian income and on several indicators of American Indian health, health-related behaviors, and access to health care.

  11. Implementation of public health practices in tribal populations of India: challenges and remedies

    Directory of Open Access Journals (Sweden)

    Saurabh Rambiharilal Shrivastava

    2013-01-01

    Full Text Available Large inequities in health exist between indigenous and non-indigenous populations worldwide. This health divide has also been demonstrated in India, where indigenous groups are officially classified as scheduled tribes (STs. India has one of the largest tribal populations in the world. Tribal communities in general and primitive tribal groups in particular are highly disease prone and their misery is compounded by poverty, illiteracy, ignorance of causes of diseases, hostile environment, poor sanitation, lack of safe drinking water, blind beliefs, etc. As per the estimates of National Family Health Survey-3 (NFHS-3, the likelihood of having received care from a doctor is lowest for ST mothers (only 32.8% compared to India of 50.2%. While many strategies have been attempted over the years to discuss some of the economic, social, and physical factors preventing tribal population to get access to healthcare services, the ultimate outcome has remained far less than the expectations. Considering that these ST groups are culturally and economically heterogeneous, the methods to tackle their health problems should not only be integrated and multi-fold, but also specific to the individual groups as feasibly as possible. Measures like strengthening of the existing human resources, bringing health services within the reach of remote populations, promotion of health awareness, facilitation of community participation using innovative strategies, bringing about a change in the behavior of health care providers, implementation of measures for the empowerment of ethnic groups by carrying out administrative reforms and finally by ensuring the sustainability of all above recommended measures. 

  12. Dental health and treatment needs among children in a tribal community.

    Science.gov (United States)

    Viragi, Prashant S; Dwijendra, K S; Kathariya, Mitesh D; Chopra, Kirti; Dadpe, Mahesh V; Madhukar, H S

    2013-07-01

    To assess the dental health status and treatment needs among children of 'Pardhi' tribal community. A total of 185 children were examined over a period of 2 months using WHO proforma. The statistical software namely SPSS version 15.0 and data was analyzed using Student's t-test and ANOVA test at p filling, i.e. 29.40%, followed by pulp care and restoration (19.30%), two or more surface fillings (15.60%) and extraction (11.70%). The study subjects were characterized by a lack of dental care services, high prevalence of dental caries and treatment needs. Therefore, implementation of a basic oral health care program for this tribal population is a high priority.

  13. Gambling with our health: smoke-free policy would not reduce tribal casino patronage.

    Science.gov (United States)

    Brokenleg, Isaiah Shaneequa; Barber, Teresa K; Bennett, Nancy L; Peart Boyce, Simone; Blue Bird Jernigan, Valarie

    2014-09-01

    Tribal sovereignty exempts tribal casinos from statewide smoking bans. To conduct a tribally-led assessment to identify the characteristics of casino patrons at Lake of the Torches Resort Casino in Lac du Flambeau WI and their preferences for a smoke-free casino. A survey was administered from April to August 2011 to a stratified random sample of 957 members of the casino players club to assess their preferences for a smoke-free casino. These members were categorized into three groups: those who reported being likely to (1) visit more; (2) visit less; or (3) visit the same if the casino prohibited smoking. They were characterized by age, education, sex, race/ethnicity, annual income, players club level, and reasons for visiting the casino. Statistical analyses were conducted on weighted data in October to December 2011. Weighted logistic regression was calculated to control for potential confounding of patron characteristics. Of the 957 surveyed patrons, 520 (54%) patrons were likely to visit more; 173 (18%) patrons to visit less; and 264 (28%) patrons were indifferent to the smoke-free status. Patrons more likely to prefer a smoke-free casino tended to be white, elderly, middle class and above, and visit the casino restaurants. Patrons within the lower tiers of the players club, almost half of the players club members, also showed a higher preference for a smoke-free casino. This tribal casino would likely realize increased patronage associated with smoke-free status while also contributing to improved health for casino workers and patrons. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  14. CDC/NACCHO Accreditation Support Initiative: advancing readiness for local and tribal health department accreditation.

    Science.gov (United States)

    Monteiro, Erinn; Fisher, Jessica Solomon; Daub, Teresa; Zamperetti, Michelle Chuk

    2014-01-01

    Health departments have various unique needs that must be addressed in preparing for national accreditation. These needs require time and resources, shortages that many health departments face. The Accreditation Support Initiative's goal was to test the assumption that even small amounts of dedicated funding can help health departments make important progress in their readiness to apply for and achieve accreditation. Participating sites' scopes of work were unique to the needs of each site and based on the proposed activities outlined in their applications. Deliverables and various sources of data were collected from sites throughout the project period (December 2011-May 2012). Awardees included 1 tribal and 12 local health departments, as well as 5 organizations supporting the readiness of local and tribal health departments. Sites dedicated their funding toward staff time, accreditation fees, completion of documentation, and other accreditation readiness needs and produced a number of deliverables and example documents. All sites indicated that they made accreditation readiness gains that would not have occurred without this funding. Preliminary evaluation data from the first year of the Accreditation Support Initiative indicate that flexible funding arrangements may be an effective way to increase health departments' accreditation readiness.

  15. Connected health and multiple sclerosis.

    Science.gov (United States)

    Cohen, M

    2018-04-18

    There is as yet no consensual definition of "connected health". In general, the term refers to the growing use of technology and, in particular, mobile technology in medicine. Over the past 10 years, there have been an increasing number of published reports on the wide-ranging and heterogeneous fields involving the application of technology in medicine, ranging from telemedicine to tools to improve patients' evaluation and monitoring by physicians, as well as a multitude of patient-centered applications. They also represent promising tools in the field of clinical research. This report is a review of the importance of using this technology in the management of multiple sclerosis patients. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  16. Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration): a population study.

    Science.gov (United States)

    Anderson, Ian; Robson, Bridget; Connolly, Michele; Al-Yaman, Fadwa; Bjertness, Espen; King, Alexandra; Tynan, Michael; Madden, Richard; Bang, Abhay; Coimbra, Carlos E A; Pesantes, Maria Amalia; Amigo, Hugo; Andronov, Sergei; Armien, Blas; Obando, Daniel Ayala; Axelsson, Per; Bhatti, Zaid Shakoor; Bhutta, Zulfiqar Ahmed; Bjerregaard, Peter; Bjertness, Marius B; Briceno-Leon, Roberto; Broderstad, Ann Ragnhild; Bustos, Patricia; Chongsuvivatwong, Virasakdi; Chu, Jiayou; Deji; Gouda, Jitendra; Harikumar, Rachakulla; Htay, Thein Thein; Htet, Aung Soe; Izugbara, Chimaraoke; Kamaka, Martina; King, Malcolm; Kodavanti, Mallikharjuna Rao; Lara, Macarena; Laxmaiah, Avula; Lema, Claudia; Taborda, Ana María León; Liabsuetrakul, Tippawan; Lobanov, Andrey; Melhus, Marita; Meshram, Indrapal; Miranda, J Jaime; Mu, Thet Thet; Nagalla, Balkrishna; Nimmathota, Arlappa; Popov, Andrey Ivanovich; Poveda, Ana María Peñuela; Ram, Faujdar; Reich, Hannah; Santos, Ricardo V; Sein, Aye Aye; Shekhar, Chander; Sherpa, Lhamo Y; Skold, Peter; Tano, Sofia; Tanywe, Asahngwa; Ugwu, Chidi; Ugwu, Fabian; Vapattanawong, Patama; Wan, Xia; Welch, James R; Yang, Gonghuan; Yang, Zhaoqing; Yap, Leslie

    2016-07-09

    International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of countries or the range of health indicators. Our objective is to describe the health and social status of Indigenous and tribal peoples relative to benchmark populations from a sample of countries. Collaborators with expertise in Indigenous health data systems were identified for each country. Data were obtained for population, life expectancy at birth, infant mortality, low and high birthweight, maternal mortality, nutritional status, educational attainment, and economic status. Data sources consisted of governmental data, data from non-governmental organisations such as UNICEF, and other research. Absolute and relative differences were calculated. Our data (23 countries, 28 populations) provide evidence of poorer health and social outcomes for Indigenous peoples than for non-Indigenous populations. However, this is not uniformly the case, and the size of the rate difference varies. We document poorer outcomes for Indigenous populations for: life expectancy at birth for 16 of 18 populations with a difference greater than 1 year in 15 populations; infant mortality rate for 18 of 19 populations with a rate difference greater than one per 1000 livebirths in 16 populations; maternal mortality in ten populations; low birthweight with the rate difference greater than 2% in three populations; high birthweight with the rate difference greater than 2% in one population; child malnutrition for ten of 16 populations with a difference greater than 10% in five populations; child obesity for eight of 12 populations with a difference greater than 5% in four populations; adult obesity for seven of 13 populations with a difference greater than 10% in

  17. A study on training needs of female health workers in tribal area of Telangana, India

    Directory of Open Access Journals (Sweden)

    Rapolu Ramakrishna Murty

    2015-01-01

    Full Text Available IMR and MMR in tribal areas of Telangana are still worrisome. Often two main reasons attributed to this problem were; low number of institutional deliveries and deliveries in the absence of skilled health provider. This study intended to know how skilled are the skilled health providers and it attempted to measure the knowledge and skills of Female Health Workers in maternal care, labour/child birth and neonatal care including communication skills. The participants’ perceived training needs were also considered as important and included in this study. Out of 700 notified scheduled villages, the participants were covered approximately in 1:2 ratio (n=350. Nearly 80% (mean=281.5 of the participants obtained scores below 50% and nearly 50% (mean=168.5 of the participants have scored below 30%. The scores of 40% of the participants reflected poor communication skills. Scores in all the areas found to be poor. Scores on skills in maternal care were better than skills in childbirth and scores on skills in child birth were better than neonatal care. On the scale of perceived training needs, skills in Labour/Child birth was given top priority by participants followed by Neonatal care, Communication skills and Maternal care respectively.

  18. Renewable Energy on Tribal Lands

    Science.gov (United States)

    This page contains presentations from the Brown to Green: Make the Connection to Renewable Energy workshop held in Santa Fe, New Mexico, during December 10-11, 2008 regarding Renewable Energy on Tribal Lands.

  19. Hualapai Tribal Utility Development Project

    Energy Technology Data Exchange (ETDEWEB)

    Hualapai Tribal Nation

    2008-05-25

    The first phase of the Hualapai Tribal Utility Development Project (Project) studied the feasibility of establishing a tribally operated utility to provide electric service to tribal customers at Grand Canyon West (see objective 1 below). The project was successful in completing the analysis of the energy production from the solar power systems at Grand Canyon West and developing a financial model, based on rates to be charged to Grand Canyon West customers connected to the solar systems, that would provide sufficient revenue for a Tribal Utility Authority to operate and maintain those systems. The objective to establish a central power grid over which the TUA would have authority and responsibility had to be modified because the construction schedule of GCW facilities, specifically the new air terminal, did not match up with the construction schedule for the solar power system. Therefore, two distributed systems were constructed instead of one central system with a high voltage distribution network. The Hualapai Tribal Council has not taken the action necessary to establish the Tribal Utility Authority that could be responsible for the electric service at GCW. The creation of a Tribal Utility Authority (TUA) was the subject of the second objective of the project. The second phase of the project examined the feasibility and strategy for establishing a tribal utility to serve the remainder of the Hualapai Reservation and the feasibility of including wind energy from a tribal wind generator in the energy resource portfolio of the tribal utility (see objective 2 below). It is currently unknown when the Tribal Council will consider the implementation of the results of the study. Objective 1 - Develop the basic organizational structure and operational strategy for a tribally controlled utility to operate at the Tribe’s tourism enterprise district, Grand Canyon West. Coordinate the development of the Tribal Utility structure with the development of the Grand Canyon

  20. Psychological interventions and health: critical connections

    OpenAIRE

    Belar, Cynthia D.

    2000-01-01

    The objective of the study was to discuss critical connections between psychological interventions and health can at various levels: the individual/family, the community/worksite, the health care system, and the general population itself. Psychologists have developed interventions that have positively impacted health in the areas of prevention and health promotion, recovery from illness, management of physical symptoms, stressful medical procedures, adherence and health care systems design. S...

  1. Exchanging health advice in a virtual community: A story of tribalization

    Directory of Open Access Journals (Sweden)

    Ioana-Alexandra Rusu

    2016-12-01

    Full Text Available The quest for information by young parents, especially mothers, is on the rise. The production of literature on how to raise children has grown exponentially over the last half century, as has the preoccupation for informing oneself on the subject (Rothbaum et al., 2008. The internet offers an immense quantity of information from sources varying in terms of quality and credibility. In the beginnings of life as a parent, people go through a time full of insecurity. Simultaneously especially new mothers are more or less isolated from their previous social lives and the need arises to compensate for this deficit through online interactions (Madge and O’Connor, 2006. One important concern is health, ranging from topics such as the best choices in pregnancy and birth, to breastfeeding, weaning and medical decisions, such as choosing a pediatrician, giving medication or vaccinating. Based on a netnographic approach, this paper tackles the question of how medical information is created and transferred in a virtual community of parents, how people select the sources they follow, and with what consequences. The main findings are that in virtual communities tribalization is easier to achieve than in real life, as people tend to find likeminded individuals and groups, while shielding themselves from contrary opinions and information, and that conflicting tribes can employ exactly the same arguments against each other.

  2. Connecting Productivity, Nutrition and Health

    International Development Research Centre (IDRC) Digital Library (Canada)

    Because animal protein is an integral part of a diverse diet, the project ... sufficient to feed 70 animals. The project has ... ability to address food security and health problems related to ... St. Kitts and Nevis: Ministry of Agriculture and Marine.

  3. The Alaska Area Specimen Bank: a tribal-federal partnership to maintain and manage a resource for health research.

    Science.gov (United States)

    Parkinson, Alan J; Hennessy, Thomas; Bulkow, Lisa; Smith, H Sally

    2013-01-01

    Banked biospecimens from a defined population are a valuable resource that can be used to assess early markers for illness or to determine the prevalence of a disease to aid the development of intervention strategies to reduce morbidity and mortality. The Alaska Area Specimen Bank (AASB) currently contains 266,353 residual biologic specimens (serum, plasma, whole blood, tissue, bacterial cultures) from 83,841 persons who participated in research studies, public health investigations and clinical testing conducted by the U.S. Public Health Service and Alaska Native tribal health organisations dating back to 1961. The majority (95.7%) are serum specimens, 77% were collected between 1981 and 1994 and 85% were collected from Alaska Native people. Oversight of the specimen bank is provided by a working group with representation from tribal, state and federal health organisations, the Alaska Area IRB and a specimen bank committee which ensures the specimens are used in accordance with policies and procedures developed by the working group.

  4. Tribal Grants

    Science.gov (United States)

    ; the U.S. Departments of Defense, Interior, Agriculture, Commerce, Housing and Urban Development . Department of Commerce seal U.S. Department of Agriculture logo U.S. Department of Housing and Urban five existing cultural heritage trails for the benefit of the local tribal community and visiting

  5. Global public health today: connecting the dots

    Directory of Open Access Journals (Sweden)

    Marta Lomazzi

    2016-02-01

    Full Text Available Background: Global public health today faces new challenges and is impacted by a range of actors from within and outside state boundaries. The diversity of the actors involved has created challenges and a complex environment that requires a new context-tailored global approach. The World Federation of Public Health Associations has embarked on a collaborative consultation with the World Health Organization to encourage a debate on how to adapt public health to its future role in global health. Design: A qualitative study was undertaken. High-level stakeholders from leading universities, multilateral organizations, and other institutions worldwide participated in the study. Inductive content analyses were performed. Results: Stakeholders underscored that global public health today should tackle the political, commercial, economic, social, and environmental determinants of health and social inequalities. A multisectoral and holistic approach should be guaranteed, engaging public health in broad dialogues and a concerted decision-making process. The connection between neoliberal ideology and public health reforms should be taken into account. The WHO must show leadership and play a supervising and technical role. More and better data are required across many programmatic areas of public health. Resources should be allocated in a sustainable and accountable way. Public health professionals need new skills that should be provided by a collaborative global education system. A common framework context-tailored to influence governments has been evaluated as useful. Conclusions: The study highlighted some of the main public health challenges currently under debate in the global arena, providing interesting ideas. A more inclusive integrated vision of global health in its complexity, shared and advocated for by all stakeholders involved in decision-making processes, is crucial. This vision represents the first step in innovating public health at the

  6. Global public health today: connecting the dots

    Science.gov (United States)

    Lomazzi, Marta; Jenkins, Christopher; Borisch, Bettina

    2016-01-01

    Background Global public health today faces new challenges and is impacted by a range of actors from within and outside state boundaries. The diversity of the actors involved has created challenges and a complex environment that requires a new context-tailored global approach. The World Federation of Public Health Associations has embarked on a collaborative consultation with the World Health Organization to encourage a debate on how to adapt public health to its future role in global health. Design A qualitative study was undertaken. High-level stakeholders from leading universities, multilateral organizations, and other institutions worldwide participated in the study. Inductive content analyses were performed. Results Stakeholders underscored that global public health today should tackle the political, commercial, economic, social, and environmental determinants of health and social inequalities. A multisectoral and holistic approach should be guaranteed, engaging public health in broad dialogues and a concerted decision-making process. The connection between neoliberal ideology and public health reforms should be taken into account. The WHO must show leadership and play a supervising and technical role. More and better data are required across many programmatic areas of public health. Resources should be allocated in a sustainable and accountable way. Public health professionals need new skills that should be provided by a collaborative global education system. A common framework context-tailored to influence governments has been evaluated as useful. Conclusions The study highlighted some of the main public health challenges currently under debate in the global arena, providing interesting ideas. A more inclusive integrated vision of global health in its complexity, shared and advocated for by all stakeholders involved in decision-making processes, is crucial. This vision represents the first step in innovating public health at the global level and should lead

  7. Impact of Integrated Watershed Management on Complex Interlinked Factors Influencing Health: Perceptions of Professional Stakeholders in a Hilly Tribal Area of India.

    Science.gov (United States)

    Nerkar, Sandeep S; Tamhankar, Ashok J; Johansson, Eva; Lundborg, Cecilia Stålsby

    2016-03-04

    Lack of access to water has a significant impact on the health of people in tribal areas, where water in households as well as for productive purposes is essential for life. In resource-limited settings such as hilly tribal areas, implementation of an integrated watershed management programme (IWMP) can have a significant impact on public health by providing a solution to water scarcity and related problems. The professional stakeholders in rural healthcare and development administration are important pillars of the system that implements various programmes and policies of government and non-government organizations, and act as facilitators for the improvement of public health in tribal areas. Information about the perceptions of these stakeholders on public health implications of the integrated watershed management programme is important in this context. A qualitative study was conducted using face to face semi-structured interviews and focus group discussions (FGDs) with stakeholders involved in healthcare provision, education and development administration. The transcripts of interviews and FGDs were analyzed using manifest and latent content analysis. The perceptions and experiences shared by healthcare and development administration stakeholders suggest that implementation of IWMP in tribal areas helps efficient water and agriculture management, which results in improved socio-economic conditions that lead to positive health outcomes.

  8. Impact of Integrated Watershed Management on Complex Interlinked Factors Influencing Health: Perceptions of Professional Stakeholders in a Hilly Tribal Area of India

    Directory of Open Access Journals (Sweden)

    Sandeep S. Nerkar

    2016-03-01

    Full Text Available Lack of access to water has a significant impact on the health of people in tribal areas, where water in households as well as for productive purposes is essential for life. In resource-limited settings such as hilly tribal areas, implementation of an integrated watershed management programme (IWMP can have a significant impact on public health by providing a solution to water scarcity and related problems. The professional stakeholders in rural healthcare and development administration are important pillars of the system that implements various programmes and policies of government and non-government organizations, and act as facilitators for the improvement of public health in tribal areas. Information about the perceptions of these stakeholders on public health implications of the integrated watershed management programme is important in this context. A qualitative study was conducted using face to face semi-structured interviews and focus group discussions (FGDs with stakeholders involved in healthcare provision, education and development administration. The transcripts of interviews and FGDs were analyzed using manifest and latent content analysis. The perceptions and experiences shared by healthcare and development administration stakeholders suggest that implementation of IWMP in tribal areas helps efficient water and agriculture management, which results in improved socio-economic conditions that lead to positive health outcomes.

  9. Effects of health empowerment intervention on resilience of adolescents in a tribal area: A study using the Solomon four-groups design.

    Science.gov (United States)

    Sarkar, Kaushik; Dasgupta, Aparajita; Sinha, Multipada; Shahbabu, Bhaskar

    2017-10-01

    Resilience prevents the emergence of stress-related mental health problems among adolescents. Adolescents in tribal areas of India are more prone to develop such problems. The primary objective was to determine the effect of combined life skills-based health empowerment intervention on the resilience of school-going adolescents in a tribal area. The secondary objectives were to determine the effect of the intervention on internal health locus of control and self-determination and to compare the effect of intervention on resilience between non-tribal and tribal adolescents. We conducted this quasi-experimental study using a Solomon four-group design among 742 adolescents in two schools of Purulia, West Bengal, India. Students of the pretested group were examined for resilience using the Child Youth Resilience Measurement scale. A life skills education-based health empowerment intervention was administered among students of the experimental group. Post-test data on resilience, self-determination, internal health locus of control and pathological behaviour was obtained 3 months after the completion of intervention. A multi-level general linear mixed model was constructed to determine the effect of intervention on resilience. Resilience was less among tribal adolescents at baseline. The intervention significantly improved resilience [β Adjusted  = 11.19 (95% CI = 10.55, 11.83], with a greater increase for tribal adolescents [β tribal-nontribal  = 1.53 (95% CI = 0.03, 3.03)]. The intervention also significantly improved internal health locus of control (marginal mean increment 1.38 ± 0.05), self-determination (marginal mean increment 3.71 ± 0.09) and reduced pathological behaviour of the adolescents. Our study informed the current health policy that the existing life skills education-based programme should be reviewed and modified to include generic life skills, and the life skills education-based programme should be coupled with developmental

  10. CHILDREN'S HEALTH PROTECTION IN INTERSECTORAL CONNECTION

    Directory of Open Access Journals (Sweden)

    Yu.E. Lapin

    2008-01-01

    Full Text Available Recently discovered phenomenon of compensatory mechanism of absence of legislative durable national policy in health protection of children is described in this article. This mechanism was developed as a result of evolution of intersect oral connection for the sake of children's health protection. «National family policy», «national policy for the sake of children», «national policy in the field of circulation of narcotic, psychotropic substances and in the field of counteraction to its illegal use», «national policy of Russian federation in the field of education», «national policy in the field of labor relations» perform functions of such compensatory mechanism. Fact of regulation of social relations in the sphere of children's health protection with means of different active directions of national policy is evidence of legal assignment of a number of problems in children's health protection as real subject of policy. The negative feature of this problem is incomplete and fragmentary regulation of relationships in the field of children's health protection. This is the reason, which maintains a status of children's health protection service as passive dirigible object but not an active regulative factor.Key words: children, health, national policy.

  11. 78 FR 20658 - Tribal Consultation Meeting

    Science.gov (United States)

    2013-04-05

    ... been sent to tribal leaders via email and posted on the Early Childhood Learning and Knowledge Center... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Tribal Consultation Meeting AGENCY: Administration for Children and Families' Office of Head Start (OHS), HHS. ACTION...

  12. Can Integrated Watershed Management Contribute to Improvement of Public Health? A Cross-Sectional Study from Hilly Tribal Villages in India

    Directory of Open Access Journals (Sweden)

    Sandeep S. Nerkar

    2015-02-01

    Full Text Available Tribal people living in hilly areas suffer from water scarcity in many parts of the world, including India. Water scarcity adversely impacts all aspects of life, including public health. Implementation of an Integrated Watershed Management Programme (IWMP can help solve the problems arising out of water scarcity in such areas. However, the knowledge about and views of the water scarcity sufferers on the public health implications of IWMP have not been well documented. This cross-sectional study was performed in six purposively selected tribal villages located in Maharashtra, India. In three of the villages IWMP had been implemented (IWMV, but not in the other three (NWMV. The head of each household in all villages was interviewed using a questionnaire covering various public health aspects relevant to the villages. A total of 286/313 (92% households participated in the study. Compared to NWMV, respondents in IWMV experienced significantly lesser prolonged water scarcity (OR = 0.39, had greater number of toilets (OR = 6.95, cultivated more variety of crops (OR = 2.61, had lower migration (OR = 0.59, higher number of girls continuing education (OR = 3.04 and better utilized modern healthcare facilities in the antenatal, natal and postnatal period (OR = 3.75, 2.57, 4.88 respectively. Thus, tribal people in IWMP-implemented villages reported advantages in many aspects of public health.

  13. Tribal child welfare. Interim final rule.

    Science.gov (United States)

    2012-01-06

    The Administration for Children and Families (ACF) is issuing this interim final rule to implement statutory provisions related to the Tribal title IV-E program. Effective October 1, 2009, section 479B(b) of the Social Security Act (the Act) authorizes direct Federal funding of Indian Tribes, Tribal organizations, and Tribal consortia that choose to operate a foster care, adoption assistance and, at Tribal option, a kinship guardianship assistance program under title IV-E of the Act. The Fostering Connections to Success and Increasing Adoptions Act of 2008 requires that ACF issue interim final regulations which address procedures to ensure that a transfer of responsibility for the placement and care of a child under a State title IV-E plan to a Tribal title IV-E plan occurs in a manner that does not affect the child's eligibility for title IV-E benefits or medical assistance under title XIX of the Act (Medicaid) and such services or payments; in-kind expenditures from third-party sources for the Tribal share of administration and training expenditures under title IV-E; and other provisions to carry out the Tribal-related amendments to title IV-E. This interim final rule includes these provisions and technical amendments necessary to implement a Tribal title IV-E program.

  14. Improvement in health and empowerment of families as a result of watershed management in a tribal area in India - a qualitative study.

    Science.gov (United States)

    Nerkar, Sandeep S; Tamhankar, Ashok J; Johansson, Eva; Lundborg, Cecilia Stålsby

    2013-10-12

    Tribal people in India, as in other parts of the world, reside mostly in forests and/or hilly terrains. Water scarcity and health problems related to it are their prime concern. Watershed management can contribute to resolve their health related problems and can put them on a path of socio-economic development. Integrated management of land, water and biomass resources within a watershed, i.e. in an area or a region which contributes rainfall water to a river or lake, is referred to as watershed management. Watershed management includes soil and water conservation to create water resources, management of drinking water, improving hygiene and sanitation, plantation of trees, improving agriculture, formation of self-help groups and proper utilisation and management of available natural resources. For successful implementation of such a solution, understanding of perceptions of the tribal community members with regard to public health and socioeconomic implications of watershed management is essential. A qualitative study with six focus group discussions (FGDs), three each separately for men and women, was conducted among tribal community members of the Maharashtra state of India. The data collected from the FGDs were analyzed using manifest and latent content analysis. "Improvement in health and empowerment of families as a result of watershed management" was identified as the main theme. Participants perceived that their health problems and socio-economic development are directly and/or indirectly dependent upon water availability. They further perceived that watershed management could directly or indirectly result in reduction of their public health related challenges like waterborne diseases, seasonal migration, alcoholism, intimate partner violence, as well as drudgery of women and may enhance overall empowerment of families through agricultural development. Tribal people perceived that water scarcity is the main reason for their physical, mental and social

  15. Doctors for tribal areas: Issues and solutions

    Directory of Open Access Journals (Sweden)

    Dileep Mavalankar

    2016-01-01

    Full Text Available Health parameters of tribal population had always been a concern for India's march towards Millennium development Goals (MDG's. Tribal population contributes 8.6% of total population, in spite of efforts and commitment of Government of India towards MGD, India lagged far behind from achieving and optimal health of tribal population will be a concern for achieving Sustainable development Goals SDG's also. Some of the common health problems of the tribal population face are deficiency of essential components in diet like energy malnutrition, protein calorie malnutrition and micronutrient deficiencies. Goiter, Gastrointestinal disorders, particularly dysentery and parasitic infections are very common. High prevalence of genetic disorders like sickle cell anemia and others are endemic in few tribes of India. Tribal Health is further compounded issues by social issues like excessive consumption of alcohol, poor access to contraceptive, substance abuse and gender based violence. Besides other reasons, like poor budget allocation, difficult to reach, poor access to health care facility, severe shortage of qualified health workers and workforce led to poor governance of health sector in tribal areas. Present view point reflects on the issues of inadequacy of doctors in tribal area and suggests possible solutions.

  16. Tribal Green Building Toolkit

    Science.gov (United States)

    This Tribal Green Building Toolkit (Toolkit) is designed to help tribal officials, community members, planners, developers, and architects develop and adopt building codes to support green building practices. Anyone can use this toolkit!

  17. 3 CFR - Tribal Consultation

    Science.gov (United States)

    2010-01-01

    .... Recommendations for improving the plans and making the tribal consultation process more effective, if any, should... 3 The President 1 2010-01-01 2010-01-01 false Tribal Consultation Presidential Documents Other Presidential Documents Memorandum of November 5, 2009 Tribal Consultation Memorandum for the Heads of Executive...

  18. The role of community, state, territorial, and tribal public health in obesity prevention.

    Science.gov (United States)

    Sommers, Janice K; Heiser, Claire

    2013-01-01

    This article explores how governmental public health authorities can contribute to public health efforts to address obesity by monitoring the prevalence of obesity and associated risk factors, investigating the contributing factors, informing the public, and working with the citizens in their jurisdiction to develop solutions that fit the needs and sensibilities of the people. © 2013 American Society of Law, Medicine & Ethics, Inc.

  19. School health and education: An interdisciplinary connection

    Directory of Open Access Journals (Sweden)

    Olga N. Makhubela-Nkondo

    2013-04-01

    Full Text Available For South Africa, the continent and the world as a whole, formal health literacy begins at school. Higher Education in South Africa is challenged to take heed of the World Health Organization’s (WHO (1996 definition of school health. For the WHO, school health is not merely hygiene, health promotion, health literacy or health education but a ‘combination of services ensuring the physical, mental and social well-being of learners so as to maximize their learning capabilities’. The WHO Expert Committee on School Health asserts that school health can advance public health, education, social and economic development, and that the global expansion of school health attests to the value placed internationally on such programmes (WHO 1996.

  20. Few differences in diet and health behaviors and perceptions were observed in adult urban Native American Indians by tribal association, gender, and age grouping.

    Science.gov (United States)

    Carter, Tina L; Morse, Kristin L; Giraud, David W; Driskell, Judy A

    2008-12-01

    Diet and health behaviors and perceptions of adult urban Native American Indians in a large Midwestern city were evaluated for differences by tribal association, gender, and age grouping. The hypothesis was that human behavior is influenced by tribal association, gender, and age grouping in the subject population. The subjects included 33 men and 32 women, with 26 being Sioux; 22 Omaha; and 17 a combination of other tribes. The descriptive survey included two interviewer-administered 24-hour recalls. The majority of subjects were overweight or obese. Significant differences (Por=10% kcal from saturated fat, and >or=300 mg cholesterol/d. Less than Estimated Average Requirements for vitamin A, vitamin C, and iron were consumed by 31%, 59%, and 6%, respectively; 79% consumed less than Adequate Intakes for calcium. Ninety-two percent consumed more than the Tolerable Upper Intake Level for sodium. Few differences were observed in the kilocalorie, vitamin A, vitamin C, calcium, and sodium intakes of these Native American Indians by tribal association, gender, or age grouping. Significant differences in percentages consuming alcohol were observed by gender (Page grouping (Page grouping.

  1. Utilizing harmonization and common surveillance methods to consolidate 4 cohorts: the Western Alaska Tribal Collaborative for Health (WATCH study

    Directory of Open Access Journals (Sweden)

    Kathryn R. Koller

    2013-05-01

    Full Text Available Background. According to health status reports, chronic disease prevalence appears to be rising in western Alaska Native (AN people, and accurate population-based data are needed. Four cohort studies of western AN people were conducted in the Norton Sound and Yukon-Kuskokwim regions, but none have been large enough to allow reliable estimates of rates of chronic diseases and evaluate their risk factors. Objective. In this article, the methods used to combine 4 major cohort studies of rural western AN people are described and the benefits and challenges encountered in combining data and standardizing surveillance methods for these studies are discussed. Design. Tribal permission was obtained for each cohort study and the consolidated study. Data from baseline exams were directly combined or harmonized into new variables. Common surveillance methods were developed and implemented to identify incidence and risk factors for cardiovascular disease (CVD events and type 2 diabetes. Results. A cohort of 4,569 western AN participants (2,116 men and 2,453 women, aged 18–95 years, was established to study CVD and diabetes prevalence. Prospective surveillance data over an average 6.7-year follow-up can now be used to study CVD and diabetes incidence and associated risk factors in a subset of 2,754 western AN participants (1,218 men and 1,536 women who consented to initial surveillance. Conclusions. The combined cohort provides statistical power to examine incidence rates and risk factors for CVD and diabetes and allows for analyses by geographic region. The data can be used to develop intervention programmes in these populations and others.

  2. Environmental health assessment of tribal child care centers in the Pacific Northwest

    Science.gov (United States)

    Young children’s exposures to lead, allergens, pesticides, PCBs, and other chemical and biological agents may result in adverse health effects but we do not currently know the levels of these chemical and biological agents in child care facilities located in Portland Area I...

  3. Cultural Lessons for Clinical Mental Health Practice: The Puyallup Tribal Community.

    Science.gov (United States)

    Guilmet, George M.; Whited, David L.

    1987-01-01

    Discusses the integration of American Indian cultural perspectives within counseling and mental health services. Outlines several issues illustrating cultural lessons for clinical practices: family and social structure, ritual, cultural values and conflict, sense of time and self, communication styles, anger, and traditionalism. Contains 47…

  4. Tribal-FERST Environmental Issue Profiles

    Science.gov (United States)

    This page provides links to the 45 issue profiles for Tribal-FERST users, organized with tabs to show issues related to pollutants, environmental media, health effects, other community issues, and all issues.

  5. Indoor Air Quality in Tribal Communities

    Science.gov (United States)

    This Website can help you improve IAQ in your tribal community. You can find information to educate your community about the simple actions they can take to improve their IAQ and protect their health.

  6. Cardiovascular health among healthy population of Northeast region of India: a cross-sectional study comparing urban-tribal difference.

    Science.gov (United States)

    Saha, Soma; Gupta, Kinnari; Kumar, Soumitra

    2013-12-01

    Cardiovascular disease is the leading cause of adult mortality in India but data on the prevalence of cardiovascular risk factors are scarce, especially from North-east region of India. This study aims to assess the prevalence and the urban/tribal gradient of cardiovascular disease risk factors among healthy population of Tripura. A cross-sectional study was carried out among 238 healthy individuals (140 urban and 98 tribal) in one urban and five tribal areas of Tripura. Data was collected on sociodemographic profile, medical history, anthropometry, dietary patterns and addiction. Fasting blood samples were collected for biochemical analysis. Prevalence of cardiovascular disease risk factors and short-term cardiovascular disease risk score was calculated. The association of independent variables with 10-year cardiovascular disease risk score were examined by using multiple regression model. Prevalence of obesity, hypertension, diabetes, dyslipidaemia, metabolic syndrome and short-term cardiovascular disease risk score were higher in urban group. Urban people had higher salt, calories and fat intake. No difference was found in the addiction patterns of tobacco and alcohol but frequency and quantity being higher in tribal area. Dyslipidaemia and alcohol consumption showed significant positive association with 10-year cardiovascular disease risk score in both groups. While the non-sedentary lifestyle and dietary habits (low salt, low fat, carbohydrate predominant) of tribal population need to be promoted as a whole across the nation, they need to be protected from the adverse effects of rampant prevalence of tobacco and alcohol addiction among them. Urban population need to be extricated from adverse effects of sedentary lifestyle, modern food habits (high salt, high fat) and tobacco-alcohol addiction.

  7. Landscape Heterogeneity mapping for Access to Tribal health care in Nilgiris District of Tamil Nadu, India

    Science.gov (United States)

    Brindha, B.; Prashanthi Devi, M.

    2014-11-01

    The Nilgiris district in Tamilnadu has a rich biodiversity in terms of flora, fauna and ethnic population. The district is basically a mountainous region, situated at an elevation of 2000 to 2,600 meters above MSL and constituting of several hill and Steep Mountain valleys. This region houses six tribes who are mainly forest dwellers and live in close settlements depending on the forest resources for their livelihood. The Tribes of Nilgiris have been diagnosed and monitored for Sickle cell Anemia which is a disease of major concern among these ethnic populations. This genetic disorder developed due to the sickling of Red Blood Cells has increased during the past few decades. The Tribes, as they live in close encounter with the forest regions and have strict social cultural barriers, face difficulty in availing treatment or counseling from the Sickle Cell Research Center (SCRC) and other NGOs like NAWA and AHWINI in the region. It was observed that many factors such as landscape terrain, climatic conditions and improper roads tend to hinder the access to appropriate health care. The SCRC in Gudalur region is a facility established to monitor the disease cases inspite of these influencing factors. On analyzing the year bound age wise classification among male and female patients, certain dropouts in cases were observed which may be due to inaccessible condition or migration of the patient. In our study, Landscape heterogeneity mapping for different climatic seasons was done in ArcGIS 10.1. For this, contour and terrain maps, road networks and villages were prepared and factors that determine Terrain Difficulty were assessed. Vegetation mapping using IRS satellite images for the study region was attempted and associated with the landscape map. A risk analysis was proposed based on terrain difficulty and access to the nearest Health care Center. Based on this, the above factors alternate routes were suggested to access the difficult areas.

  8. Tribal Utility Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Engel, R. A.; Zoellick, J. J.

    2007-06-30

    The Schatz Energy Research Center (SERC) assisted the Yurok Tribe in investigating the feasibility of creating a permanent energy services program for the Tribe. The original purpose of the DOE grant that funded this project was to determine the feasibility of creating a full-blown Yurok Tribal electric utility to buy and sell electric power and own and maintain all electric power infrastructure on the Reservation. The original project consultant found this opportunity to be infeasible for the Tribe. When SERC took over as project consultant, we took a different approach. We explored opportunities for the Tribe to develop its own renewable energy resources for use on the Reservation and/or off-Reservation sales as a means of generating revenue for the Tribe. We also looked at ways the Tribe can provide energy services to its members and how to fund such efforts. We identified opportunities for the development of renewable energy resources and energy services on the Yurok Reservation that fall into five basic categories: • Demand-side management – This refers to efforts to reduce energy use through energy efficiency and conservation measures. • Off-grid, facility and household scale renewable energy systems – These systems can provide electricity to individual homes and Tribal facilities in areas of the Reservation that do not currently have access to the electric utility grid. • Village scale, micro-grid renewable energy systems - These are larger scale systems that can provide electricity to interconnected groups of homes and Tribal facilities in areas of the Reservation that do not have access to the conventional electric grid. This will require the development of miniature electric grids to serve these interconnected facilities. • Medium to large scale renewable energy development for sale to the grid – In areas where viable renewable energy resources exist and there is access to the conventional electric utility grid, these resources can be

  9. Ageing, Learning and Health: Making Connections

    Science.gov (United States)

    Mestheneos, Elizabeth; Withnall, Alexandra

    2016-01-01

    The health of ageing populations is a real concern across the world so that the concept of active ageing has been advocated as a framework for appropriate educational policies and programmes to support people as they grow older. The other elements discussed here are health and healthy life expectancy (HLE) acknowledging that as people age, they…

  10. The Mind-Body Connection - Emotions and Health

    Science.gov (United States)

    ... Current Issue Past Issues The Mind-Body Connection Emotions and Health Past Issues / Winter 2008 Table of ... for centuries. Until the 1800s, most believed that emotions were linked to disease and advised patients to ...

  11. Tribal Science 2017 Webinar Series: Arctic Research, One Health and the Local Environmental Observer (LEO) Network: Ongoing Activities and Expansion to Lower 48

    Science.gov (United States)

    The U.S. EPA Sustainable and Healthy Communities Seminar Series presents the Tribal Science Webinar Series that will look to develop a forum for discussion of the complex environmental issues facing many tribal and indigenous communities.

  12. Tribal Waste Management Program

    Science.gov (United States)

    The EPA’s Tribal Waste Management Program encourages environmentally sound waste management practices that promote resource conservation through recycling, recovery, reduction, clean up, and elimination of waste.

  13. Opportunity to Learn: The Health Connection.

    Science.gov (United States)

    Jackson, Shirley A.

    1993-01-01

    Reviews the following health issues related to the opportunity to learn for poor African-American and other minority children: (1) inadequate prenatal care; (2) malnutrition; (3) childhood diseases and illnesses; (4) unsafe environments and violence; (5) teenage sexual activity, pregnancy, and AIDS; (6) substance use and abuse; and (7) mental and…

  14. Exploring connections between trees and human health

    Science.gov (United States)

    Geoffrey Donovan; Marie. Oliver

    2014-01-01

    Humans have intuitively understood the value of trees to their physical and mental health since the beginning of recorded time. A scientist with the Pacific Northwest Research Station wondered if such a link could be scientifically validated. His research team took advantage of an infestation of emerald ash borer, an invasive pest that kills ash trees, to conduct a...

  15. 42 CFR 137.15 - Who may participate in Tribal Self-Governance?

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Who may participate in Tribal Self-Governance? 137... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation in Self-Governance § 137.15 Who may participate in Tribal Self-Governance? Those...

  16. Improving Cancer-Related Outcomes with Connected Health - Objective 4

    Science.gov (United States)

    The full benefits of connected health cannot be achieved unless everyone in the United States who wants to participate and the organizations that support health and deliver healthcare have adequate access to high-speed Internet service. Access depends both on the availability of broadband service and the resources needed to obtain and maintain service.

  17. Family Health and Financial Literacy--Forging the Connection

    Science.gov (United States)

    Braun, Bonnie; Kim, Jinhee; Anderson, Elaine A.

    2009-01-01

    Families are at-risk of or experiencing a diminished quality of living and life in current economic times and difficult decisions are required. Health and financial literacy are the basis for wise personal and public decision making. Family and consumer sciences (FCS) professionals can forge connections between health and financial literacy to…

  18. Bronx Teens Connection's Clinic Linkage Model: Connecting Youth to Quality Sexual and Reproductive Health Care.

    Science.gov (United States)

    O'Uhuru, Deborah J; Santiago, Vivian; Murray, Lauren E; Travers, Madeline; Bedell, Jane F

    2017-03-01

    Teen pregnancy and birth rates in the Bronx have been higher than in New York City, representing a longstanding health disparity. The New York City Department of Health and Mental Hygiene implemented a community-wide, multicomponent intervention to reduce unintended teen pregnancy, the Bronx Teens Connection. The Bronx Teens Connection Clinic Linkage Model sought to increase teens' access to and use of sexual and reproductive health care by increasing community partner capacity to link neighborhood clinics to youth-serving organizations, including schools. The Bronx Teens Connection Clinic Linkage Model used needs assessments, delineated the criteria for linkages, clarified roles and responsibilities of partners and staff, established trainings to support the staff engaged in linkage activities, and developed and used process evaluation methods. Early results demonstrated the strength and feasibility of the model over a 4-year period, with 31 linkages developed and maintained, over 11,300 contacts between clinic health educators and teens completed, and increasing adherence to the Centers for Disease Control and Prevention-defined clinical best practices for adolescent reproductive health. For those eight clinics that were able to provide data, there was a 25% increase in the number of teen clients seen over 4 years. There are many factors that relate to an increase in clinic utilization; some of this increase may have been a result of the linkages between schools and clinics. The Bronx Teens Connection Clinic Linkage Model is an explicit framework for clinical and youth-serving organizations seeking to establish formal linkage relationships that may be useful for other municipalities or organizations. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  19. Social Connection Dynamics in a Health Promotion Network

    NARCIS (Netherlands)

    Fernandes de Mello Araujo, Eric; Klein, Michel; van Halteren, Aart

    2016-01-01

    The influence of social connections on human behaviour has been demonstrated in many occasions. This paper presents the analysis of the dynamic properties of longitudinal (335 days) community data (n=3,375 participants) from an online health promotion program. The community data is unique as it

  20. Greening Existing Tribal Buildings

    Science.gov (United States)

    Guidance about improving sustainability in existing tribal casinos and manufactured homes. Many steps can be taken to make existing buildings greener and healthier. They may also reduce utility and medical costs.

  1. Tribal Consultation Tracking System

    Data.gov (United States)

    U.S. Environmental Protection Agency — The consultation-related information the AIEO Consultation Team working with our Tribal Portal contractors has developed a Lotus Notes Database that is capable of...

  2. Health promotion in connection to the health care students

    Directory of Open Access Journals (Sweden)

    S. Kyuchukova

    2017-09-01

    Full Text Available The activities of health promotion for the students in health care specialties is organized and managed by the teacher process. During the training communication skills are acquired. It is the time for preparing students for work in counseling and patient education, collecting and providing health information - promotive function in the process of care (1. We assumed that these opportunities could be used in our work with children deprived of parental care. We set a goal to explore experiences, attitudes and ideas about students’ participation in health care in health promotion in the community of children and individuals. The study found that students are aware of the social importance of the knowledge acquired during the training and are convinced of the need to support adolescents to develop a responsible attitude towards their own health.

  3. Wireless connectivity for health and sports monitoring: a review.

    Science.gov (United States)

    Armstrong, S

    2007-05-01

    This is a review of health and sports monitoring research that uses or could benefit from wireless connectivity. New, enabling wireless connectivity standards are evaluated for their suitability, and an assessment of current exploitation of these technologies is summarised. An example of the application is given, highlighting the capabilities of a network of wireless sensors. Issues of timing and power consumption in a battery-powered system are addressed to highlight the benefits networking can provide, and a suggestion of how monitoring different biometric signals might allow one to gain additional information about an athlete or patient is made.

  4. The tribal girl child in Rajasthan.

    Science.gov (United States)

    Bhanti, R

    1995-01-01

    This article describes the status of the girl child among tribes in India. Tribes have son preference but do not discriminate against girls by female infanticide or sex determination tests. Girls do not inherit land, but they are not abused, hated, or subjected to rigid social norms. Girls are not veiled and are free to participate in dancing and other recreational programs. There is no dowry on marriage. The father of the bridegroom pays a brideprice to the father of the girl. Widowed or divorced women are free to marry again. Daughters care for young children, perform housework, and work in the field with their brothers. In the tribal village of Choti Underi girls were not discriminated against in health and nutrition, but there was a gender gap in education. Both girls and boys were equally exposed to infection and undernourishment. Tribals experience high rates of infant and child mortality due to poverty and its related malnutrition. Child labor among tribals is a way of life for meeting the basic needs of the total household. A recent report on tribals in Rajasthan reveals that 15-20% of child labor involved work in mines that were dangerous to children's health. Girl children had no security provisions or minimum wages. Tribal children were exploited by human service agencies. Child laborers were raped. Government programs in tribal areas should focus on improving living conditions for children in general. Special programs for girls are needed for providing security in the workplace and increasing female educational levels. More information is needed on the work burden of tribal girls that may include wage employment as well as housework.

  5. 78 FR 44459 - Tribal Self-Governance

    Science.gov (United States)

    2013-07-24

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service 42 CFR Part 137 Tribal Self-Governance CFR Correction In Title 42 of the Code of Federal Regulations, Parts 1 to 399, revised as of October 1, 2012, on page 932, in the second column, the heading ``Subpart P--Secretarial Responsibilities...

  6. Men’s mental health: Connection to urologic health

    OpenAIRE

    Matthew, Andrew; Elterman, Dean

    2014-01-01

    Historically, the specialty of urology has focused on single-system diseases. In recent years, however, there has been increasing recognition of the interconnectivity between the various systems, such as cardiovascular disease, metabolic syndrome, erectile dysfunction and prostate cancer. This constellation of disease/syndrome and dysfunction may place urologists at the centre of men’s overall health concerns. As urologists considering taking on a leadership role in men’s health, they should ...

  7. Rates, indications, and outcomes of caesarean section deliveries: A comparison of tribal and non-tribal women in Gujarat, India.

    Directory of Open Access Journals (Sweden)

    Gayatri Desai

    Full Text Available Even though the caesarean section is an essential component of comprehensive obstetric and newborn care for reducing maternal and neonatal mortality, there is a lack of data regarding caesarean section rates, its determinants and health outcomes among tribal communities in India.The aim of this study is to estimate and compare rates, determinants, indications and outcomes of caesarean section. The article provides an assessment on how the inequitable utilization can be addressed in a community-based hospital in tribal areas of Gujarat, India.Prospectively collected data of deliveries (N = 19923 from April 2010 to March 2016 in Kasturba Maternity Hospital was used. The odds ratio of caesarean section was estimated for tribal and non-tribal women. Decomposition analysis was done to decompose the differences in the caesarean section rates between tribal and non-tribal women.The caesarean section rate was significantly lower among tribal compared to the non-tribal women (9.4% vs 15.6%, p-value < 0.01 respectively. The 60% of the differences in the rates of caesarean section between tribal and non-tribal women were unexplained. Within the explained variation, the previous caesarean accounted for 96% (p-value < 0.01 of the variation. Age of the mother, parity, previous caesarean and distance from the hospital were some of the important determinants of caesarean section rates. The most common indications of caesarean section were foetal distress (31.2%, previous caesarean section (23.9%, breech (16% and prolonged labour (11.2%. There was no difference in case fatality rate (1.3% vs 1.4%, p-value = 0.90 and incidence of birth asphyxia (0.3% vs 0.6%, p-value = 0.26 comparing the tribal and non-tribal women.Similar to the prior evidences, we found higher caesarean rates among non-tribal compare to tribal women. However, the adverse outcomes were similar between tribal and non-tribal women for caesarean section deliveries.

  8. National Tribal Building Codes Summit

    Science.gov (United States)

    National Tribal Building Codes summit statement developed to support tribes interested in adopting green and culturally-appropriate building systems to ensure safe, sustainable, affordable, and culturally-appropriate buildings on tribal lands.

  9. Family caregivers' health in connection with providing care.

    Science.gov (United States)

    Erlingsson, Christen L; Magnusson, Lennart; Hanson, Elizabeth

    2012-05-01

    Our aim was to investigate connections between Swedish family caregivers' health and providing care for an ill relative by conducting a systematic search and synthesis of previous research. We analyzed 31 articles using first qualitative content analysis then hermeneutic analysis. Analysis resulted in three derived themes-sliding sideways into caregiving, caregiving in reciprocity, and caregiving in disintegration-and a main interpretation and conceptual model of Swedish family caregivers' health-caregiving in a sphere of beliefs. Results indicated that Swedish family caregivers' beliefs, experiences of reciprocity, or nonsupport, together with quality of interpersonal relationships and feelings of responsibility and guilt, have a profound impact on their health. These results point to the value and importance of nurses gaining an understanding of family caregivers' beliefs and experiences of reciprocity or nonsupport to effectively promote family caregivers' health.

  10. BUILDING TRIBAL CAPABILITIES IN ENERGY RESOURCE TRIBES

    Energy Technology Data Exchange (ETDEWEB)

    Mary Lopez

    2003-04-01

    The CERT Tribal Internship Program is part of the education and training opportunities provided by CERT to accelerate the development of American Indian technical professionals available to serve Tribes and expand the pool of these professionals. Tribes are severely impacted by the inadequate number of Indian professionals available to serve and facilitate Tribal participation and support of the energy future of Tribes,and subsequently the energy future of the nation. By providing interns with hands-on work experience in their field of study two goals are accomplished: (1) the intern is provided opportunities for professional enhancement; and (2) The pool of Indian professionals available to meet the needs of Tribal government and Tribal communities in general is increased. As of January 17, 2003, Lance M Wyatt successfully completed his internship with the Interagency Working Group on Environmental Justice on the Task Force that specifically focuses their work on Tribal nations. While working as an intern with the National Transportation Program, Albuquerque operations, Jacqueline Agnew received an offer to work for the Alaska Native Health Board in Anchorage, Alaska. This was an opportunity that Ms. Agnew did not feel she could afford to forego and she left her internship position in February 2003. At present, CERT is in the process of finding another qualified individual to replace the internship position vacated by Ms. Agnew. Mr. Wyatt's and Ms. Agnew's final comments are given.

  11. ["Health professionals will become experts in the world of connected health"].

    Science.gov (United States)

    Warnet, Sylvie

    2017-11-01

    The French national medical council (CNOM), in its white paper Connected health: From e-health to connected health, incites doctors to support the deployment of the digital world in the health sector and to integrate its useful and beneficial aspects into their own practices. Doctor Jacques Lucas, vice-president of the CNOM and general delegate for IT systems in health, highlights the challenges of this emerging world and evokes the impact on the nurse-patient relationship. Copyright © 2017. Publié par Elsevier Masson SAS.

  12. 76 FR 55678 - Tribal Consultation Policy

    Science.gov (United States)

    2011-09-08

    ... types of agency actions that will require tribal consultation in the future. ACF's response was that due... disparities of American Indians and Alaska Natives (AI/AN) and ensuring that access to critical health and... within ACF, many of which already consult with AI/ANs. 3. Background Since the formation of the Union...

  13. 78 FR 57858 - Tribal Consultation Meeting

    Science.gov (United States)

    2013-09-20

    ... and posted on the Early Childhood Learning and Knowledge Center Web site at http://eclkc.ohs.acf.hhs... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Tribal Consultation Meeting AGENCY: Administration for Children and Families' Office of Head Start (OHS), HHS. ACTION...

  14. Involvement of Mitanins (female health volunteers) in active malaria surveillance, determinants and challenges in tribal populated malaria endemic villages of Chhattisgarh, India.

    Science.gov (United States)

    Chourasia, Mehul Kumar; Raghavendra, Kamaraju; Bhatt, Rajendra Mohan; Swain, Dipak Kumar; Dutta, G D P; Kleinschmidt, Immo

    2017-07-11

    Accredited Social Health Activists (ASHA), female health volunteers working at village level have become an integral component of National Health Mission (NHM) in India in the past two decades. Mitanin (meaning female friend in local dialect), a precursor of ASHA, play an indispensable role in early detection of health related problems and are helping in improving overall community health status in Chhattisgarh state. The current study was carried out to evaluate the feasibility of involving Mitanin in active malaria surveillance work in 80 tribal villages of Chhattisgarh and to explore the challenges and determinants to perform malaria surveillance activities by the Mitanins. A total of 162 Mitanins were selected and divided into two age and village matched groups. The first group (training plus) of Mitanins were given additional training in malaria surveillance activities in whilst the second (standard) group received routine training. All Mitanins were interviewed using a structured questionnaire. In-depth interviews were also conducted among randomly selected sub groups of Mitanins (five from each group) after the completion of the quantitative survey. Performance of Mitanins was evaluated using pre-defined grading scores (A-E) which included various factors such as educational qualifications and knowledge about malaria, its signs and symptoms and knowledge, attitude and treatment practices. More number of Mitanins in training plus group has showed better performance (≥ B) than those in the standard group of Mitanins (80% vs 43.5%, p = 0.001) after adjusting for socio-demographic factors. Based on the outcome of in-depth interviews, Mitanin's lack of adequate support from supervisors, delayed payment of incentives and lack of appreciation were the major challenges mentioned. Mitanins can play an effective role in active fever surveillance for malaria besides performing other health related tasks at sub-village level after focused education on malaria

  15. "My story is like a goat tied to a hook." Views from a marginalized tribal group in Kerala (India) on the consequences of falling ill: a participatory poverty and health assessment.

    Science.gov (United States)

    Mohindra, K S; Narayana, D; Haddad, Slim

    2010-06-01

    Indigenous populations tend to have the poorest health outcomes worldwide and they have limited opportunities to present their own perspectives of their situation and shape priorities in research and policy. This study aims to explain low healthcare utilisation rates and opportunities to cope with illness among a deprived indigenous group - based on their own experiences and views. A participatory poverty and health assessment (PPHA) was conducted among the Paniyas, a previously enslaved tribal population of South India in a Gram Panchayat in Kerala, India in 2008. Purposive sampling was used to select five Paniya colonies, involving 66 households. There were four key findings. First, Paniyas' perception that the quality of the public healthcare system is poor leads them to seek suboptimal care or deters them from using services. Second, there are significant costs of care unrelated to service use or purchase of medicines, such as travel costs, which the Paniyas lack the ability to pay. Third, illness can lead to loss of productive opportunities among those who fall ill and those who provide informal care. Fourth, the Paniyas lack a 'range' of coping strategies as they are wage labourers without diverse sources of income. They rely on a single strategy: borrowing from outside their community, often from landowners and employers, to whom they become indebted with their labour. Improving the capacity of tribal populations to present their own perspectives is likely to lead to more effective tribal development policies and consequently better health.

  16. Connections between Men and Health: discussing some scratches of masculinity

    Directory of Open Access Journals (Sweden)

    Andréia Burille

    2013-07-01

    Full Text Available In this article seeks to discuss the connections between men and health addressing some scratches of masculinity. At first, bring up some data from the thematic seminar "Being a man today: discussing some scratches masculinity," presented at the International Seminar Reviews Routes III, held in Porto Alegre, Brazil, in 2011. Therefore, we discuss the process of male socialization and scores some aspects of everyday life that can endanger / or scratch threaten masculinity, such as seeking care and even the aging process itself. It is noted that the heteronormative masculinity configures itself as the hegemonic model, stand out among other models. So, being a man is to fulfill roles and prescriptions which are rooted in a society that is structured on the basis of gender, even for this have to endanger your health.

  17. Indoor Air Quality Tribal Partners Program

    Science.gov (United States)

    IAQ Tribal Partners Program. Empowering champions of healthy IAQ in tribal communities with tools for networking, sharing innovative and promising programs and practices and a reservoir of the best available tribal-specific IAQ information and materials.

  18. Improving Cancer-Related Outcomes with Connected Health - Part 2: Objective 2

    Science.gov (United States)

    A core principle of connected health is that individuals are empowered to decide when, whether, and how much to participate in their health and healthcare (see Principles of Connected Health in Part 1). Decisions about participation may change over time. Connected health tools are needed to ensure that people at risk for cancer, cancer patients, and cancer survivors have access to the information they need when they need it and in formats that meet their needs.

  19. A Disability and Health Institutional Research Capacity Building and Infrastructure Model Evaluation: A Tribal College-Based Case Study

    Science.gov (United States)

    Moore, Corey L.; Manyibe, Edward O.; Sanders, Perry; Aref, Fariborz; Washington, Andre L.; Robertson, Cherjuan Y.

    2017-01-01

    Purpose: The purpose of this multimethod study was to evaluate the institutional research capacity building and infrastructure model (IRCBIM), an emerging innovative and integrated approach designed to build, strengthen, and sustain adequate disability and health research capacity (i.e., research infrastructure and investigators' research skills)…

  20. Tribal Recommendations for Designing Culturally Appropriate Technology-Based Sexual Health Interventions Targeting Native Youth in the Pacific Northwest

    Science.gov (United States)

    Rushing, Stephanie Craig; Stephens, David

    2012-01-01

    Media technologies, including the Internet, cell phones, and video games, offer new avenues to reach Native youth on sensitive health topics. Project Red Talon, a sexually transmitted disease (STD)/HIV prevention project that serves the 43 federally recognized tribes in Oregon, Washington, and Idaho, used community-based participatory research…

  1. One Health: Understanding and Improving Human, Animal, and Environmental Health as a Connected System Across NOAA

    Science.gov (United States)

    Giltz, S.; Trtanj, J.; Jones, H.

    2017-12-01

    The One Health concept recognizes that the health of humans is inextricably linked with the health of animals and the environment. With a growing world population, changing climate, and increased global travel One Health approaches are increasingly useful. The National Oceanic and Atmospheric Administration (NOAA) provides key stakeholders in the public health sector with the environmental intelligence they need to mitigate emerging health threats. The NOAA One Health Working Group's mission is to integrate and coordinate the network of observing systems and in situ sensors, detection and diagnostic capacity, research and modeling efforts, and sustained engagement with health partners to deliver useful information to public health and resource management communities. The NOAA One Health group divides its broad focus into themes: thermal extremes, water-borne disease, seafood security, Arctic, wildlife and zoonotic disease, vector-borne disease, and air quality (including wildfire). The group connects the work being done throughout NOAA to coordinate One Health related efforts, increase information sharing, promote interdisciplinary approaches, and work towards better disease prevention. We are working to enhance NOAA Science and services to deliver useful information on current and emerging health risks and benefits to health decision makers.

  2. A study on training needs of female health workers in tribal area of Telangana,\tIndia

    Directory of Open Access Journals (Sweden)

    Rapolu\tRamakrishna\tMurty

    2015-10-01

    Full Text Available IMR\tand\tMMR\tin\ttribal\tareas\tof\tTelangana\tare\tstill\tworrisome.\tOften\ttwo\tmain reasons\tattributed\tto\tthis\tproblem\twere;\tlow\tnumber\tof\tinstitutional\tdeliveries and\tdeliveries\tin\tthe\tabsence\tof\tskilled\thealth\tprovider.\tThis\tstudy\tintended\tto know\thow\tskilled\tare\tthe\tskilled\thealth\tproviders\tand\tit\tattempted\tto\tmeasure the knowledge and skills of Female Health Workers in maternal care, labour/child birth and neonatal care including communication skills. The participants’ perceived training needs were also considered as important and included\tin this\tstudy.\tOut\tof\t700\tnotified\tscheduled\tvillages, the\tparticipants were\tcovered approximately\tin\t1:2 ratio (n=350.\tNearly\t80% (mean=281.5\tof the participants obtained scores below 50% and nearly 50% (mean=168.5 of the participants\thave\tscored\tbelow\t30%.\tThe\tscores\tof\t40%\tof\tthe\tparticipants reflected\tpoor\tcommunication\tskills.\tScores\tin\tall\tthe\tareas\tfound\tto\tbe\tpoor.\tScores\ton\tskills\tin\tmaternal\tcare were\tbetter\tthan\tskills\tin\tchildbirth\tand\tscores\ton\tskills\tin\tchild\tbirth\twere\tbetter\tthan\tneonatal\tcare.\tOn\tthe scale\tof\tperceived\ttraining\tneeds,\tskills\tin\tLabour/Child\tbirth\twas\tgiven\ttop\tpriority\tby\tparticipants\tfollowed\tby Neonatal\tcare,\tCommunication\tskills\tand\tMaternal\tcare\trespectively.

  3. Community genetics and health approaches for bringing awareness in tribals for the prevention of beta-thalassemia in India

    Directory of Open Access Journals (Sweden)

    Ranbir S. Balgir

    2011-08-01

    Full Text Available Beta (β thalassemia syndromes are a group of hereditary disorders characterized by a genetic deficiency in the synthesis of β-globin chains. In the homozygous state, β-thalassemia (i.e., thalassemia major causes severe transfusion-dependent anemia. Inherited β-thalassemia syndromes cause high degree of hemolytic anemia, recurrent fever, clinical jaundice, frequent infections, bossing of cheek bones, growth retardation, splenomegaly, etc. and are responsible for high infant morbidity, mortality and fetal wastage in India. The victims include the infants, growing children, adolescent girls, pregnant women and a large chunk of ignorant people. In view of heavy genetic load, frequent requirement of blood transfusions, high cost of treatment and management, physical trauma, and mental and psychological harassment to the patients and their families, it has been realized that preventive community health and genetics approach is the most suitable for India. After carrier detection, prenatal diagnosis, and genetic couselling are the important options for couples at high risk for β-thalassemia. A prerequisite for successful prevention and intervention approach in India is the health education, bringing public awareness, sensitization, and community screening for the identification of heterozygotes or carriers in the concerned community. Some suggestions for the prevention of β-thalassemia in the vulnerable communities of India have been over emphasized for amelioration.β地中海贫血综合症是一簇遗传性异常,其特点是β球蛋白链接合处基因缺失。β地贫(或重型地贫)在纯和状态下导致严重的输液依赖型贫血症。遗传性的β地贫综合症引起严重的溶血性贫血、回归热、显性黄疸、常见感染、疼痛危象、颊骨浮肿、生长迟缓、脾肿大等症状,这导致在印度出现婴儿高发病率、死亡率和胎儿夭折。其受害人群包括婴儿、发

  4. 75 FR 39730 - Tribal Economic Development Bonds

    Science.gov (United States)

    2010-07-12

    ... DEPARTMENT OF THE TREASURY Tribal Economic Development Bonds AGENCY: Department of the Treasury... (``Treasury'') seeks comments from Indian Tribal Governments regarding the Tribal Economic Development Bond... governments, known as ``Tribal Economic Development Bonds,'' under Section 7871(f) of the Internal Revenue...

  5. Circadian Rhythm Connections to Oxidative Stress: Implications for Human Health

    Science.gov (United States)

    Wilking, Melissa; Ndiaye, Mary; Mukhtar, Hasan

    2013-01-01

    Abstract Significance: Oxygen and circadian rhythmicity are essential in a myriad of physiological processes to maintain homeostasis, from blood pressure and sleep/wake cycles, down to cellular signaling pathways that play critical roles in health and disease. If the human body or cells experience significant stress, their ability to regulate internal systems, including redox levels and circadian rhythms, may become impaired. At cellular as well as organismal levels, impairment in redox regulation and circadian rhythms may lead to a number of adverse effects, including the manifestation of a variety of diseases such as heart diseases, neurodegenerative conditions, and cancer. Recent Advances: Researchers have come to an understanding as to the basics of the circadian rhythm mechanism, as well as the importance of the numerous species of oxidative stress components. The effects of oxidative stress and dysregulated circadian rhythms have been a subject of intense investigations since they were first discovered, and recent investigations into the molecular mechanisms linking the two have started to elucidate the bases of their connection. Critical Issues: While much is known about the mechanics and importance of oxidative stress systems and circadian rhythms, the front where they interact has had very little research focused on it. This review discusses the idea that these two systems are together intricately involved in the healthy body, as well as in disease. Future Directions: We believe that for a more efficacious management of diseases that have both circadian rhythm and oxidative stress components in their pathogenesis, targeting both systems in tandem would be far more successful. Antioxid. Redox Signal. 19, 192–208 PMID:23198849

  6. Native Geosciences: Strengthening the Future Through Tribal Traditions

    Science.gov (United States)

    Bolman, J. R.; Quigley, I.; Douville, V.; Hollow Horn Bear, D.

    2008-12-01

    Native people have lived for millennia in distinct and unique ways in our natural sacred homelands and environments. Tribal cultures are the expression of deep understandings of geosciences shared through oral histories, language and ceremonies. Today, Native people as all people are living in a definite time of change. The developing awareness of "change" brings forth an immense opportunity to expand and elevate Native geosciences knowledge, specifically in the areas of earth, wind, fire and water. At the center of "change" is the need to balance the needs of the people with the needs of the environment. Native tradition and our inherent understanding of what is "sacred above is sacred below" is the foundation for an emerging multi-faceted approach to increasing the representation of Natives in geosciences. The approach is also a pathway to assist in Tribal language revitalization, connection of oral histories and ceremonies as well as building an intergenerational teaching/learning community. Humboldt State University, Sinte Gleska University and South Dakota School of Mines and Technology in partnership with Northern California (Hoopa, Yurok, & Karuk) and Great Plains (Lakota) Tribes have nurtured Native geosciences learning communities connected to Tribal Sacred Sites and natural resources. These sites include the Black Hills (Mato Paha, Mato Tiplia, Hinhan Kaga Paha, Mako Sica etc.), Klamath River (Ishkêesh), and Hoopa Valley (Natinixwe). Native geosciences learning is centered on the themes of earth, wind, fire and water and Native application of remote sensing technologies. Tribal Elders and Native geoscientists work collaboratively providing Native families in-field experiential intergenerational learning opportunities which invite participants to immerse themselves spiritually, intellectually, physically and emotionally in the experiences. Through this immersion and experience Native students and families strengthen the circle of our future Tribal

  7. Performance management models for public health: Public Health Accreditation Board/Baldrige connections, alignment, and distinctions.

    Science.gov (United States)

    Gorenflo, Grace G; Klater, David M; Mason, Marlene; Russo, Pamela; Rivera, Lillian

    2014-01-01

    The nationally known Malcolm Baldrige Award for Excellence ("Baldrige program") recognizes outstanding performance management and is specifically cited by the Public Health Accreditation Board (PHAB) as a potential framework for PHAB's requisite performance management system. The authors developed a crosswalk that identifies alignments between the 2 programs and is a highlight of the Quest for Exceptional Performance tool that is intended to help health departments capitalize on the connections between the 2 programs. To provide deeper insight into the most robust connections between the 2 programs. The authors developed a crosswalk by listing the PHAB measures, identifying corresponding Baldrige areas to address, and assigning a rating regarding the strength of the alignment. Subsequently, they generated a matrix with numerical scores reflecting the strength of the PHAB-Baldrige alignments that were then analyzed for frequency and strength of alignment by PHAB domain and by Baldrige category. The tool developers and 3 public health leaders with experience in the Baldrige program contributed to both the design and the analyses. The measures used reflected both the frequency and strength of alignments. Of the 123 alignments identified in the crosswalk, 39 were rated as high, 40 as medium, and 44 as low. The strongest connections were in the areas of performance management, quality improvement, strategic planning, workforce development, assessment and analysis, and customer service. While the areas with the most frequent and strongest connections provide the most useful basis for health departments pursuing Baldrige recognition or using Baldrige criteria as a framework for performance management, all alignments could be considered for both purposes.

  8. School Health Connection Goes Electronic: Developing a Health Information Management System for New Orleans' School-Based Health Centers. Program Results Report

    Science.gov (United States)

    Rastorfer, Darl

    2011-01-01

    From February 2008 through April 2011, School Health Connection, a program of the Louisiana Public Health Institute, developed an electronic health information management system for newly established school-based health centers in Greater New Orleans. School Health Connection was established as part of a broader effort to restore community health…

  9. ACHP | Tribal Historic Preservation Officers

    Science.gov (United States)

    preservation of significant historic properties. Those functions include identifying and maintaining Working with Section 106 Federal, State, & Tribal Programs Training & Education Publications Search skip specific nav links Home arrow Historic Preservation Programs & Officers arrow THPOs

  10. "Tobacco Truths": Health Magazine, Clinical Epidemiology, and the Cigarette Connection.

    Science.gov (United States)

    Wilmshurst, Sara

    2015-01-01

    In the 1950s, Health, a magazine published by the Health League of Canada, was nonchalant about the risks of smoking and largely ignored early epidemiological studies of lung cancer. In the 1960s the magazine stopped accepting cigarette advertising and began to oppose smoking. Health's writers adjusted to new knowledge; the magazine gradually accepted clinical epidemiology as a source of medical knowledge and recognized smoking as a public health risk. As Canada's only devoted health publication for a lay audience at the time, Health provides a unique window into ways that smoking and health were portrayed to its readers.

  11. Integrated Care and Connected Health Approaches Leveraging Personalised Health through Big Data Analytics.

    Science.gov (United States)

    Maglaveras, Nicos; Kilintzis, Vassilis; Koutkias, Vassilis; Chouvarda, Ioanna

    2016-01-01

    Integrated care and connected health are two fast evolving concepts that have the potential to leverage personalised health. From the one side, the restructuring of care models and implementation of new systems and integrated care programs providing coaching and advanced intervention possibilities, enable medical decision support and personalized healthcare services. From the other side, the connected health ecosystem builds the means to follow and support citizens via personal health systems in their everyday activities and, thus, give rise to an unprecedented wealth of data. These approaches are leading to the deluge of complex data, as well as in new types of interactions with and among users of the healthcare ecosystem. The main challenges refer to the data layer, the information layer, and the output of information processing and analytics. In all the above mentioned layers, the primary concern is the quality both in data and information, thus, increasing the need for filtering mechanisms. Especially in the data layer, the big biodata management and analytics ecosystem is evolving, telemonitoring is a step forward for data quality leverage, with numerous challenges still left to address, partly due to the large number of micro-nano sensors and technologies available today, as well as the heterogeneity in the users' background and data sources. This leads to new R&D pathways as it concerns biomedical information processing and management, as well as to the design of new intelligent decision support systems (DSS) and interventions for patients. In this paper, we illustrate these issues through exemplar research targeting chronic patients, illustrating the current status and trends in PHS within the integrated care and connected care world.

  12. Computational brain connectivity mapping: A core health and scientific challenge.

    Science.gov (United States)

    Deriche, Rachid

    2016-10-01

    One third of the burden of all the diseases in Europe is due to problems caused by diseases affecting brain. Although exceptional progress have been obtained for exploring the brain during the past decades, it is still terra-incognita and calls for specific efforts in research to better understand its architecture and functioning. To take up this great challenge of modern science and to solve the limited view of the brain provided just by one imaging modality, this article advocates the idea developed in my research group of a global approach involving new generation of models for brain connectivity mapping and strong interactions between structural and functional connectivities. Capitalizing on the strengths of integrated and complementary non invasive imaging modalities such as diffusion Magnetic Resonance Imaging (dMRI) and Electro & Magneto-Encephalography (EEG & MEG) will contribute to achieve new frontiers for identifying and characterizing structural and functional brain connectivities and to provide a detailed mapping of the brain connectivity, both in space and time. Thus leading to an added clinical value for high impact diseases with new perspectives in computational neuro-imaging and cognitive neuroscience. Copyright © 2016 Elsevier B.V. All rights reserved.

  13. Bringing Health and Fitness Data Together for Connected Health Care: Mobile Apps as Enablers of Interoperability.

    Science.gov (United States)

    Gay, Valerie; Leijdekkers, Peter

    2015-11-18

    A transformation is underway regarding how we deal with our health. Mobile devices make it possible to have continuous access to personal health information. Wearable devices, such as Fitbit and Apple's smartwatch, can collect data continuously and provide insights into our health and fitness. However, lack of interoperability and the presence of data silos prevent users and health professionals from getting an integrated view of health and fitness data. To provide better health outcomes, a complete picture is needed which combines informal health and fitness data collected by the user together with official health records collected by health professionals. Mobile apps are well positioned to play an important role in the aggregation since they can tap into these official and informal health and data silos. The objective of this paper is to demonstrate that a mobile app can be used to aggregate health and fitness data and can enable interoperability. It discusses various technical interoperability challenges encountered while integrating data into one place. For 8 years, we have worked with third-party partners, including wearable device manufacturers, electronic health record providers, and app developers, to connect an Android app to their (wearable) devices, back-end servers, and systems. The result of this research is a health and fitness app called myFitnessCompanion, which enables users to aggregate their data in one place. Over 6000 users use the app worldwide to aggregate their health and fitness data. It demonstrates that mobile apps can be used to enable interoperability. Challenges encountered in the research process included the different wireless protocols and standards used to communicate with wireless devices, the diversity of security and authorization protocols used to be able to exchange data with servers, and lack of standards usage, such as Health Level Seven, for medical information exchange. By limiting the negative effects of health data silos

  14. The EcoHealth Journal: Connecting the ecohealth community ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2011-05-09

    May 9, 2011 ... "We need [the EcoHealth] journal to help articulate what ecohealth is and to ... Ecosystems and Human Health ... Ecohealth is also unusual in academia because it encompasses both basic and applied science. "It is the ... Membership in the International Association for Ecology and Health, which publishes ...

  15. The Internet in Connecting Electronics Health Record Mobile Clients

    Czech Academy of Sciences Publication Activity Database

    Hanzlíček, Petr; Špidlen, Josef; Zvárová, Jana

    2002-01-01

    Roč. 10, č. 6 (2002), s. 502-503 ISSN 0928-7329. [Mednet 2002. Qualit-e-Health. World Conference on the Internet in Medicine /7./. 04.12.2002-07.12.2002, Amsterdam] Institutional research plan: AV0Z1030915 Keywords : distributed electronic health record * mobile health data access Subject RIV: BD - Theory of Information

  16. 42 CFR 137.401 - What role does Tribal consultation play in the IHS annual budget request process?

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false What role does Tribal consultation play in the IHS annual budget request process? 137.401 Section 137.401 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF...-GOVERNANCE Secretarial Responsibilities Budget Request § 137.401 What role does Tribal consultation play in...

  17. 'Only connect': the case for public health humanities.

    Science.gov (United States)

    Saffran, Lise

    2014-12-01

    Humanities in health has until now been primarily understood to mean humanities in medicine and has generally failed to include public health. I will argue in this paper that the common justifications for the former--including increased empathy among practitioners--are at least as applicable, if not more, to the latter. Growing emphasis on the social determinants of health and cultural competency in public health require public health students and professionals to develop a nuanced understanding of the influence of social context on health behaviour and to empathise with people in difficult circumstances. Literary fiction has been demonstrated to have an impact on skills related to empathy and social intelligence. Further, translating epidemiological evidence into public policy is a core task of public health and there is a growing body of research to indicate that statistical evidence is more persuasive when combined with narrative evidence. In this article I explore similarities and differences between proposed humanities in public health and programmes in humanities in medicine and highlight research gaps and possible implications of a more expansive view of humanities in health. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  18. School Climate, Deployment, and Mental Health among Students in Military-Connected Schools

    Science.gov (United States)

    De Pedro, Kris Tunac; Astor, Ron Avi; Gilreath, Tamika D.; Benbenishty, Rami; Berkowitz, Ruth

    2018-01-01

    Research has found that when compared with civilian students, military-connected students in the United States have more negative mental health outcomes, stemming from the stress of military life events (i.e., deployment). To date, studies on military-connected youth have not examined the role of protective factors within the school environment,…

  19. Mind/Body Connection: How Your Emotions Affect Your Health

    Science.gov (United States)

    ... she will need to make sure that other health problems aren’t causing your physical symptoms. If your symptoms aren’t caused by ... and Wellness Staying Healthy Healthy Living Travel Occupational Health First Aid and ... Pets and Animals myhealthfinder Food and Nutrition Healthy Food ...

  20. Everything is connected: social determinants of pediatric health and disease.

    Science.gov (United States)

    Tarazi, Carine; Skeer, Margie; Fiscella, Kevin; Dean, Stephanie; Dammann, Olaf

    2016-01-01

    Carine Tarazi, MA, is an Assistant Editor for Pediatric Research in Boston, Massachusetts, USA. Margie Skeer, ScD, MPH, MSW, served as a Guest Editor for this special issue. Dr. Skeer is Assistant Professor of Public Health and Community Medicine at Tufts University. Her research focuses on adolescent substance misuse and sexual risk prevention, both from epidemiologic and intervention-development perspectives. Kevin Fiscella, MD, MPH, served as a Guest Editor for this special issue. Dr. Fiscella is Tenured Professor of Family Medicine, Public Health Sciences and Community Health at the University of Rochester Medical Center. Dr. Fiscella's research focuses on health and health care disparities, particularly practical strategies to improve health equity. Stephanie Dean, MBA, is Managing Editor of Pediatric Research and is based out of editorial office in The Woodlands, Texas. Olaf Dammann, MD, served as a Guest Editor for this special issue. Dr. Dammann is a Professor of Public Health and Community Medicine, Pediatrics, and Ophthalmology at Tufts University School of Medicine in Boston, Massachusetts, USA, as well as Professor of Perinatal Neuroepidemiology at Hannover Medical School, Hannover, Germany. His research interests include the elucidation of risk factors for brain damage and retinopathy in preterm newborns, the theory of risk and causation in biomedical and public health research, and the development of computational chronic disease models.

  1. Personality Accounts for the Connection Between Volunteering and Health.

    Science.gov (United States)

    King, Hannah R; Jackson, Joshua J; Morrow-Howell, Nancy; Oltmanns, Thomas F

    2015-09-01

    Existing literature has shown that volunteering is related to better physical and mental health outcomes. The purpose of this study is to examine whether personality traits and volunteering are independent predictors of physical and mental health. The current study utilizes data from the St. Louis Personality and Aging Network (SPAN), a representative sample of community-based adults between the ages of 55 and 64. Using hierarchical linear regressions, we test whether volunteering is a significant predictor of both physical and mental health while controlling for personality traits. We find that volunteering is not significantly related to either physical or mental health while controlling for personality traits. We also find that lower neuroticism is related to better physical functioning and mental health, whereas higher extraversion is related to better mental health. These results indicate that volunteering may be related to health outcomes because of the personality characteristics of volunteers, not the volunteering experience in and of itself. Future longitudinal studies are needed to further explore the relationship between personality, volunteering, and health. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Behavioural, Financial, and Health & Medical Economics: A Connection

    NARCIS (Netherlands)

    C-L. Chang (Chia-Lin); M.J. McAleer (Michael); W.-K. Wong (Wing-Keung)

    2015-01-01

    textabstractThis Opinion article briefly reviews some of the literature in behavioural and financial economics that are related to health & medical economics. We then discuss some of the research on behavioural and financial economics that could be extended to health & medical economics beyond the

  3. Behavioural, Financial, and Health & Medical Economics: A Connection

    OpenAIRE

    Chang, Chia-Lin; McAleer, Michael; Wong, Wing-Keung

    2015-01-01

    textabstractThis Opinion article briefly reviews some of the literature in behavioural and financial economics that are related to health & medical economics. We then discuss some of the research on behavioural and financial economics that could be extended to health & medical economics beyond the existing areas in theory, statistics and econometrics.

  4. 25 CFR 547.4 - How does a tribal government, tribal gaming regulatory authority, or tribal gaming operation...

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false How does a tribal government, tribal gaming regulatory authority, or tribal gaming operation comply with this part? 547.4 Section 547.4 Indians NATIONAL INDIAN GAMING COMMISSION, DEPARTMENT OF THE INTERIOR HUMAN SERVICES MINIMUM TECHNICAL STANDARDS FOR GAMING...

  5. The Mind-Body Connection - Complementary and Alternative Approaches to Health

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues The Mind-Body Connection Complementary and Alternative Approaches to Health ... Also, a 2007 study found that Tai Chi boosts resistance to the shingles virus in older adults." ...

  6. Infrastructure Task Force Tribal Solid Waste Management

    Science.gov (United States)

    These documents describe 1) issues to consider when planning and designing community engagement approaches for tribal integrated waste management programs and 2) a proposed approach to improve tribal open dumps data and solid waste projects, and 3) an MOU.

  7. Sickle cell disease in tribal populations in India.

    Science.gov (United States)

    Colah, Roshan B; Mukherjee, Malay B; Martin, Snehal; Ghosh, Kanjaksha

    2015-05-01

    The sickle gene is widespread among many tribal population groups in India with prevalence of heterozygotes varying from 1-40 per cent. Co-inheritance of the sickle gene with β-thalassaemia, HbD Punjab and glucose-6-phosphate dehydrogenase (G6PD) deficiency has also been reported. Most of the screening programmes in India now use high performance liquid chromatography (HPLC) analysis although the solubility test is also sensitive and cheap. Sickle cell disease (SCD) among tribal populations is generally milder than among non-tribal groups with fewer episodes of painful crises, infections, acute chest syndrome and need for hospitalization. This has partly been attributed to the very high prevalence of α-thalassaemia among these tribes as well as higher foetal haemoglobin levels. However, the clinical presentation is variable with many cases having a severe presentation. There is not much information available on maternal and perinatal outcome in tribal women with sickle cell disease. Newborn screening programmes for SCD have recently been initiated in Maharashtra, Gujarat, Orissa and Chattisgarh and monitoring these birth cohorts will help to understand the natural history of SCD in India. Prenatal diagnosis is acceptable by tribal families in India. The Indian Council of Medical Research and the National Rural Health Mission in different States are undertaking outreach programmes for better management and control of the disease.

  8. Making connections for better maternal health in Peru | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2018-01-29

    Jan 29, 2018 ... Deep inequities underlie the country's health system, but WawaRed could save ... information and advice can benefit the most vulnerable mothers and children. ... This information ensures that medical and other supplies are ...

  9. [Light pollution. A connection between ecology and health].

    Science.gov (United States)

    Jedidi, H; Depierreux, F; Jedidi, Z; Beckers, A

    2015-11-01

    Light pollution is defined as the abnormal and disturbing nocturnal presence of light, its adverse consequences on flora, fauna, and, ecosystems, and its suspected or proven effects on human health. Light pollution is a quite recent and increasing phenomenon within our society; it leads to a major environmental damage not only on wildlife, but also on human health (cancers, obesity, fatigue, depression...). The solutions to this problem are however simple, efficient and, de facto, inexpensive because they involve a substantial energy saving.

  10. Balancing Health Information Exchange and Privacy Governance from a Patient-Centred Connected Health and Telehealth Perspective.

    Science.gov (United States)

    Kuziemsky, Craig E; Gogia, Shashi B; Househ, Mowafa; Petersen, Carolyn; Basu, Arindam

    2018-04-22

    Connected healthcare is an essential part of patient-centred care delivery. Technology such as telehealth is a critical part of connected healthcare. However, exchanging health information brings the risk of privacy issues. To better manage privacy risks we first need to understand the different patterns of patient-centred care in order to tailor solutions to address privacy risks.  Drawing upon published literature, we develop a business model to enable patient-centred care via telehealth. The model identifies three patient-centred connected health patterns. We then use the patterns to analyse potential privacy risks and possible solutions from different types of telehealth delivery.  Connected healthcare raises the risk of unwarranted access to health data and related invasion of privacy. However, the risk and extent of privacy issues differ according to the pattern of patient-centred care delivery and the type of particular challenge as they enable the highest degree of connectivity and thus the greatest potential for privacy breaches.  Privacy issues are a major concern in telehealth systems and patients, providers, and administrators need to be aware of these privacy issues and have guidance on how to manage them. This paper integrates patient-centred connected health care, telehealth, and privacy risks to provide an understanding of how risks vary across different patterns of patient-centred connected health and different types of telehealth delivery. Georg Thieme Verlag KG Stuttgart.

  11. Quality and Innovation: Redesigning a Coordinated and Connected Health System.

    Science.gov (United States)

    Vaughan, Peter W

    2017-01-01

    Nova Scotia's consolidated health system was launched on April 1, 2015. This new approach to organizing health administration and services in the province arose out of necessity. When planning began, Nova Scotia was spending 41% of its annual budget on health services. In comparison to other provinces and territories, our per capita health-related spending was among the highest in the country, we had one of Canada's oldest populations and we had some of the worst health outcomes. Clearly, we could not continue to do the same things and expect different results. Both the life sciences and technology are changing at breakneck speed, while design of healthcare delivery has barely moved beyond a mid-twentieth century paternalistic provider-centric model. Nova Scotia's transformation journey was facilitated by a major policy effort 20 years earlier that had integrated emergency health services across the province. Our aim was to build on that foundation by integrating administration in order to build primary care networks with enhanced regional specialty services, with tertiary services located in Halifax. The goal of health system innovation in Nova Scotia was - and is - based firmly on the dimensions of quality: safe care that avoids harming patients; effective care that is based on levels of evidence to achieve scalability; access to care that is focused on individuals; efficient care that reduces waste, time, energy and supplies; and equitable care that ensures a system is in place that mitigates differences in geography and social economic status. The author offers a sketch of the principal initiatives, challenges, considerations, approaches and lessons involved in this multi-factorial, multi-stakeholder innovation process.

  12. Accessing completeness of pregnancy, delivery, and death registration by Accredited Social Health Activists [ASHA] in an innovative mHealth project in the tribal areas of Gujarat: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    D Modi

    2016-01-01

    Full Text Available Background: The Innovative Mobile-phone Technology for Community Health Operation (ImTeCHO is a mobile-phone application that helps Accredited Social Health Activists (ASHAs in complete registration through the strategies employed during implementation that is linking ASHAs′ incentives to digital records, regular feedback, onsite data entry, and demand generation among beneficiaries. Objective: To determine the proportion of pregnancies, deliveries, and infant deaths (events being registered through the ImTeCHO application against actual number of events in a random sample of villages. Materials and Methods: Five representative villages were randomly selected from the ImTeCHO project area in the tribal areas of Gujarat, India to obtain the required sample of 98 recently delivered women. A household survey was done in the entire villages to enumerate each family and create a line-listing of events since January 2014; the line-listing was compared with list of women registered through the ImTeCHO application. The proportion of events being registered through the ImTeCHO application was compared against the actual number of events to find sensitivity of the ImTeCHO application. Result: A total of 844 families were found during household enumeration. Out of actual line-listing of pregnancies (N = 39, deliveries (N = 102, and infant deaths (N = 5 found during household enumeration, 38 (97.43%, 101 (99.01%, and 5 (100% were registered by ASHAs through the ImTeCHO application. Conclusion: The use of mobile-phone technology and strategies applied during the ImTeCHO implementation should be upscaled to supplement efforts to improve the completeness of registration.

  13. Enhancing No Child Left Behind-School mental health connections.

    Science.gov (United States)

    Daly, Brian P; Burke, Robert; Hare, Isadora; Mills, Carrie; Owens, Celeste; Moore, Elizabeth; Weist, Mark D

    2006-11-01

    The No Child Left Behind Act of 2001 was signed into law by President George W. Bush in January 2002 and is regarded as the most significant federal education policy initiative in a generation. The primary focus of the No Child Left Behind Act is on promoting educational success for all children; however, the legislation also contains opportunities to advance school-based mental health. Unfortunately, the complexities of the provisions of the No Child Left Behind Act have made it difficult for educators, stakeholders, and mental health professionals to understand the legal and practical interface between No Child Left Behind and the school mental health movement. Therefore, the goals of this article are to (1) raise awareness about the challenges educators and school mental health professionals face as a result of the implementation of No Child Left Behind and (2) provide ideas and recommendations to advance the interface between No Child Left Behind and school mental health, which will support key provisions of the act and the growth of the field.

  14. A possible connection between thermal comfort and health

    Energy Technology Data Exchange (ETDEWEB)

    Stoops, John L.

    2004-05-20

    It is a well-established fact that cardiovascular health requires periodic exercise during which the human body often experiences significant physical discomfort. It is not obvious to the exerciser that the short-term pain and discomfort has a long-term positive health impact. Many cultures have well-established practices that involve exposing the body to periodic thermal discomfort. Scandinavian saunas and American Indian sweat lodges are two examples. Both are believed to promote health and well-being. Vacations often intentionally include significant thermal discomfort as part of the experience (e.g., sunbathing, and downhill skiing). So people often intentionally make themselves thermally uncomfortable yet the entire foundation of providing the thermal environment in our buildings is done to minimize the percentage of people thermally dissatisfied. We must provide an environment that does not negatively impact short-term health and we need to consider productivity but are our current thermal comfort standards too narrowly defined and do these standards actually contribute to longer-term negative health impacts? This paper examines the possibility that the human body thermoregulatory system has a corollary relationship to the cardiovascular system. It explores the possibility that we have an inherent need to exercise our thermoregulatory system. Potential, physiological, sociological and energy ramifications of these possibilities are discussed.

  15. Air Pollutants and Ecological Conditions Around Schools on Tribal Lands

    Science.gov (United States)

    Children are more vulnerable to exposures from their everyday environments compared to adults. Children from Tribal communities have a greater burden of adverse health and well-being outcomes versus children from other communities in the U.S. (US DHHS 2016). Stressors from chi...

  16. GLOBE Observer Mosquito Habitat Mapper: Geoscience and Public Health Connections

    Science.gov (United States)

    Low, R.; Boger, R. A.

    2017-12-01

    The global health crisis posed by vector-borne diseases is so great in scope that it is clearly insurmountable without the active help of tens-or hundreds- of thousands of individuals, working to identify and eradicate risk in communities around the world. Mobile devices equipped with data collection capabilities and visualization opportunities are lowering the barrier for participation in data collection efforts. The GLOBE Observer Mosquito Habitat Mapper (MHM) provides citizen scientists with an easy to use mobile platform to identify and locate mosquito breeding sites in their community. The app also supports the identification of vector taxa in the larvae development phase via a built-in key, which provides important information for scientists and public health officials tracking the rate of range expansion of invasive vector species and associated health threats. GO Mosquito is actively working with other citizen scientist programs across the world to ensure interoperability of data through standardization of metadata fields specific to vector monitoring, and through the development of APIs that allow for data exchange and shared data display through a UN-sponsored proof of concept project, Global Mosquito Alert. Avenues of application for mosquito vector data-both directly, by public health entities, and by modelers who employ remotely sensed environmental data to project mosquito population dynamics and epidemic disease will be featured.

  17. Ethics Review for a Multi-Site Project Involving Tribal Nations in the Northern Plains.

    Science.gov (United States)

    Angal, Jyoti; Petersen, Julie M; Tobacco, Deborah; Elliott, Amy J

    2016-04-01

    Increasingly, Tribal Nations are forming ethics review panels, which function separately from institutional review boards (IRBs). The emergence of strong community representation coincides with a widespread effort supported by the U.S. Department of Health & Human Services and other federal agencies to establish a single IRB for all multi-site research. This article underscores the value of a tribal ethics review board and describes the tribal oversight for the Safe Passage Study-a multi-site, community-based project in the Northern Plains. Our experience demonstrates the benefits of tribal ethics review and makes a strong argument for including tribal oversight in future regulatory guidance for multi-site, community-based research. © The Author(s) 2016.

  18. Globalization, poverty and women's health: mapping the connections.

    Science.gov (United States)

    Sicchia, Suzanne R; Maclean, Heather

    2006-01-01

    Poverty and other forms of inequity undermine individual and population health and retard development. Although absolute poverty has reportedly declined in recent years, research suggests that relative poverty or the gap between the rich and poor within and between countries has been exacerbated over this same period. There is growing concern about the feminization of poverty, and the impact globalization is having on this important social problem. Gender inequality persists in all regions, and women and girls continue to be over-represented among the world's poor. This suggests that women are not consistently benefitting from the economic, political and social gains globalization can offer. Instead, it appears that poor women and girls, particularly those living in developing countries, are disproportionately burdened by the costs of these swift changes to the detriment of their personal health and well-being. Immediate action is needed to correct these disparities and ensure that globalization supports both national and international commitments to poverty reduction, and the, promotion of women's health and human rights.

  19. 77 FR 16120 - Tribal Consultations

    Science.gov (United States)

    2012-03-19

    ... regulations governing Federal grants for the establishment, expansion, and improvement of veterans cemeteries... Information Technology Act of 2006,'' which establishes eligibility for Tribal Organizations to apply for grants for Veterans cemeteries on Trust Lands. Public Law 109-461, 120 Stat. 3403 (Dec. 22, 2006); see...

  20. Building Connections While Conducting Qualitative Health Fieldwork in Vietnam

    Directory of Open Access Journals (Sweden)

    Victoria L. Boggiano

    2015-11-01

    Full Text Available Researchers are increasingly embarking on international qualitative health research projects, where unknown social structures and government systems make inquiry uniquely challenging. In this article, we document our experiences conducting two related studies on HIV/AIDS in Northern Vietnam. We describe how our research relied on harnessing the social capital of vital community stakeholders, such as key informants, interpreters, and host organizations, to effectively engage with government bodies on a macro level and with local communities on a microlevel. By highlighting our processes, pitfalls, and successes, we provide current and future scholars with strategies to use when conducting cross-national field research.

  1. OPP Guidance for Submission of State and Tribal Water Quality Monitoring Data

    Science.gov (United States)

    This guidance describes the process to submit state and tribal surface and groundwater monitoring data for consideration in exposure characterizations for ecological and and human health risk assessments and in risk management decisions for pesticides.

  2. MedlinePlus Connect: Linking Patient Portals and Electronic Health Records to Health Information

    Science.gov (United States)

    ... Here: Home → MedlinePlus Connect URL of this page: https://medlineplus.gov/connect/overview.html MedlinePlus Connect Linking ... will change.) Old URLs New URLs Web Application https://apps.nlm.nih.gov/medlineplus/services/mpconnect.cfm? ...

  3. Im/mobilities and dis/connectivities in medical globalisation: How global is Global Health?

    Science.gov (United States)

    Dilger, Hansjörg; Mattes, Dominik

    2018-03-01

    The interdisciplinary, politically contested field of Global Health has often been described as a consequence of, and response to, an intensification of the mobilities of, and connectivities between, people, pathogens, ideas, and infrastructure across national borders and large distances. However, such global mobilities and connectivities are not as omnidirectional and unpatterned as the rhetoric of many Global Health actors suggests. Instead, we argue that they are suffused by a plethora of institutional, national, and global political agendas, and substantially shaped by transnational and postcolonial power relations. Furthermore, the configurations that are typically subsumed under the category of Global Health represent only a minor part of the range of im/mobilities and dis/connectivities that are essential for understanding transformations of epidemiological patterns, health care infrastructures, and the responses to health-related challenges in a globalising world. In order to broaden such a limiting analytical perspective, we propose to expand the analytical focus in studying Global Health phenomena by paying close attention to the myriad ways in which particular im/mobilities and dis/connectivities constitute medicine and well-being in global and transnational settings. Pursuing a conceptual shift from studies of 'Global Health' to studying 'medical globalization' may carve out new analytical ground for such an endeavour.

  4. Human Centred Design Considerations for Connected Health Devices for the Older Adult

    Directory of Open Access Journals (Sweden)

    Richard P. Harte

    2014-06-01

    Full Text Available Connected health devices are generally designed for unsupervised use, by non-healthcare professionals, facilitating independent control of the individuals own healthcare. Older adults are major users of such devices and are a population significantly increasing in size. This group presents challenges due to the wide spectrum of capabilities and attitudes towards technology. The fit between capabilities of the user and demands of the device can be optimised in a process called Human Centred Design. Here we review examples of some connected health devices chosen by random selection, assess older adult known capabilities and attitudes and finally make analytical recommendations for design approaches and design specifications.

  5. 45 CFR 310.25 - What conditions apply to acquisitions of Computerized Tribal IV-D Systems?

    Science.gov (United States)

    2010-10-01

    ... FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPUTERIZED TRIBAL IV-D SYSTEMS AND OFFICE AUTOMATION Funding for Computerized Tribal IV-D Systems and Office Automation § 310.25 What conditions apply to... 45 Public Welfare 2 2010-10-01 2010-10-01 false What conditions apply to acquisitions of...

  6. Region 9 Tribal Grant Program - Project Officer and Tribal Contact Information Map Service

    Science.gov (United States)

    This compilation of geospatial data is for the purpose of managing and communicating information about current EPA project officers, tribal contacts, and tribal grants, both internally and with external stakeholders.

  7. Connected health and integrated care: Toward new models for chronic disease management.

    Science.gov (United States)

    Chouvarda, Ioanna G; Goulis, Dimitrios G; Lambrinoudaki, Irene; Maglaveras, Nicos

    2015-09-01

    The increasingly aging population in Europe and worldwide brings up the need for the restructuring of healthcare. Technological advancements in electronic health can be a driving force for new health management models, especially in chronic care. In a patient-centered e-health management model, communication and coordination between patient, healthcare professionals in primary care and hospitals can be facilitated, and medical decisions can be made timely and easily communicated. Bringing the right information to the right person at the right time is what connected health aims at, and this may set the basis for the investigation and deployment of the integrated care models. In this framework, an overview of the main technological axes and challenges around connected health technologies in chronic disease management are presented and discussed. A central concept is personal health system for the patient/citizen and three main application areas are identified. The connected health ecosystem is making progress, already shows benefits in (a) new biosensors, (b) data management, (c) data analytics, integration and feedback. Examples are illustrated in each case, while open issues and challenges for further research and development are pinpointed. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  8. The Tribal Tobacco Education and Policy Initiative: Findings From a Collaborative, Participatory Evaluation.

    Science.gov (United States)

    Scott, Sheryl; D'Silva, Joanne; Hernandez, Carol; Villaluz, Nicole Toves; Martinez, Jaime; Matter, Chris

    2017-07-01

    While the reduction in the overall U.S. smoking prevalence has been declared one of the top 10 public health achievements of the past century, the growing disparity in smoking between American Indians and the general population is one of the biggest challenges of the 21st century. Minnesota in particular has very high smoking rates among American Indians (59%). Tribal Nations in Minnesota share a past of attempted cultural genocide and a present of restoring the strength of their cultural teachings, including the prominence of traditional tobacco as a sacred "first medicine." The Tribal Tobacco Education and Policy initiative works to address this complex and challenging context. This article describes results of a participatory evaluation from 2010 to 2013 in four Minnesota Tribal Nations-three Ojibwe and one Dakota. Tribal Tobacco Education and Policy coordinators used their cultural knowledge to develop community-level strategies, identifying appropriate strategies from best practices on tobacco advocacy, while drawing on the strengths of their own sovereignty and sacred tobacco traditions. Tribal coordinators generated support for policy change by conducting culturally relevant education, engaging tribal members, and nurturing relationships. This approach resulted in norm changes, practices toward restoring traditional tobacco, informal policies, and tribal resolutions to advance smoke-free policies.

  9. CULTURAL ADAPTATIONS OF EVIDENCE-BASED HOME-VISITATION MODELS IN TRIBAL COMMUNITIES.

    Science.gov (United States)

    Hiratsuka, Vanessa Y; Parker, Myra E; Sanchez, Jenae; Riley, Rebecca; Heath, Debra; Chomo, Julianna C; Beltangady, Moushumi; Sarche, Michelle

    2018-05-01

    The Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) Program provides federal grants to tribes, tribal consortia, tribal organizations, and urban Indian organizations to implement evidence-based home-visiting services for American Indian and Alaska Native (AI/AN) families. To date, only one evidence-based home-visiting program has been developed for use in AI/AN communities. The purpose of this article is to describe the steps that four Tribal MIECHV Programs took to assess community needs, select a home-visiting model, and culturally adapt the model for use in AI/AN communities. In these four unique Tribal MIECHV Program settings, each program employed a rigorous needs-assessment process and developed cultural modifications in accordance with community strengths and needs. Adaptations occurred in consultation with model developers, with consideration of the conceptual rationale for the program, while grounding new content in indigenous cultures. Research is needed to improve measurement of home-visiting outcomes in tribal and urban AI/AN settings, develop culturally grounded home-visiting interventions, and assess the effectiveness of home visiting in AI/AN communities. © 2018 Michigan Association for Infant Mental Health.

  10. Internalizing Mental Health Disorders: Examining the Connection between Children's Symptoms and Parent Involvement and Autonomy Support

    Science.gov (United States)

    Walsh, Anne

    2010-01-01

    The primary purpose of this study is to examine the connection between parent involvement and autonomy support, as well as the combined construct of autonomy supportive parent involvement, with internalized mental health symptoms. A secondary purpose of this study is to determine how certain parent demographics relate to attitudes and behaviors…

  11. A uniqueness-and-anonymity-preserving remote user authentication scheme for connected health care.

    Science.gov (United States)

    Chang, Ya-Fen; Yu, Shih-Hui; Shiao, Ding-Rui

    2013-04-01

    Connected health care provides new opportunities for improving financial and clinical performance. Many connected health care applications such as telecare medicine information system, personally controlled health records system, and patient monitoring have been proposed. Correct and quality care is the goal of connected heath care, and user authentication can ensure the legality of patients. After reviewing authentication schemes for connected health care applications, we find that many of them cannot protect patient privacy such that others can trace users/patients by the transmitted data. And the verification tokens used by these authentication schemes to authenticate users or servers are only password, smart card and RFID tag. Actually, these verification tokens are not unique and easy to copy. On the other hand, biometric characteristics, such as iris, face, voiceprint, fingerprint and so on, are unique, easy to be verified, and hard to be copied. In this paper, a biometrics-based user authentication scheme will be proposed to ensure uniqueness and anonymity at the same time. With the proposed scheme, only the legal user/patient himself/herself can access the remote server, and no one can trace him/her according to transmitted data.

  12. Mapping a Careflow Network to assess the connectedness of Connected Health.

    Science.gov (United States)

    Carroll, Noel; Richardson, Ita

    2017-04-01

    Connected Health is an emerging and rapidly developing field which has the potential to transform healthcare service systems by increasing its safety, quality and overall efficiency. From a healthcare perspective, process improvement models have mainly focused on the static workflow viewpoint. The objective of this article is to study and model the dynamic nature of healthcare delivery, allowing us to identify where potential issues exist within the service system and to examine how Connected Health technological solutions may support service efficiencies. We explore the application of social network analysis (SNA) as a modelling technique which captures the dynamic nature of a healthcare service. We demonstrate how it can be used to map the 'Careflow Network' and guide Connected Health innovators to examine specific opportunities within the healthcare service. Our results indicate that healthcare technology must be correctly identified and implemented within the Careflow Network to enjoy improvements in service delivery. Oftentimes, prior to making the transformation to Connected Health, researchers use various modelling techniques that fail to identify where Connected Health innovation is best placed in a healthcare service network. Using SNA allows us to develop an understanding of the current operation of healthcare system within which they can effect change. It is important to identify and model the resource exchanges to ensure that the quality and safety of care are enhanced, efficiencies are increased and the overall healthcare service system is improved. We have shown that dynamic models allow us to study the exchange of resources. These are often intertwined within a socio-technical context in an informal manner and not accounted for in static models, yet capture a truer insight on the operations of a Careflow Network.

  13. Designing for scale: optimising the health information system architecture for mobile maternal health messaging in South Africa (MomConnect)

    CSIR Research Space (South Africa)

    Seebregts, C

    2018-04-01

    Full Text Available MomConnect is a national initiative coordinated by the South African National Department of Health that sends text-based mobile phone messages free of charge to pregnant women who voluntarily register at any public healthcare facility in South...

  14. Barriers and Strategies for Healthy Food Choices among American Indian Tribal College Students: A Qualitative Analysis.

    Science.gov (United States)

    Keith, Jill F; Stastny, Sherri; Brunt, Ardith; Agnew, Wanda

    2018-06-01

    American Indian and Alaskan Native individuals experience disproportionate levels of chronic health conditions such as type 2 diabetes and overweight and obesity that are influenced by dietary patterns and food choices. Understanding factors that influence healthy food choices among tribal college students can enrich education and programs that target dietary intake. To build an understanding of factors that influence healthy food choices among tribal college students at increased risk for college attrition. A nonexperimental cohort design was used for qualitative descriptive analysis. Participants (N=20) were purposively sampled, newly enrolled, academically underprepared tribal college students enrolled in a culturally relevant life skills course at an upper Midwest tribal college between September 2013 and May 2015. Participant demographic characteristics included various tribal affiliations, ages, and number of dependents. Participant responses to qualitative research questions about dietary intake, food choices, self-efficacy for healthy food choices, psychosocial determinants, and barriers to healthy food choices during telephone interviews were used as measures. Qualitative analysis included prestudy identification of researcher bias/assumptions, audiorecording and transcription, initial analysis (coding), secondary analysis (sorting and identifying meaning), and verification (comparative pattern analysis). Qualitative analysis revealed a variety of themes and subthemes about healthy food choices. Main themes related to barriers included taste, food gathering and preparation, and difficulty clarifying healthy food choices. Main themes related to strategies included taste, cultural traditions and practices, and personal motivation factors. Qualitative analysis identified barrier and strategy themes that may assist nutrition and dietetics practitioners working with tribal/indigenous communities, tribal college educators and health specialists, and tribal

  15. Tribal Geographic Area (RTOC) Polygons with Representative Information, US EPA Region 9, 2015, Regional Tribal Operations Committee

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Regional Tribal Operations Committee (RTOC) is a working committee of EPA and Tribal personnel co-chaired by an EPA representative and a Tribal representative....

  16. Excise tax differences at Oklahoma smoke shops: an opportunity for inter-tribal coordination.

    Science.gov (United States)

    Laux, Fritz L; Chaloupka, Frank J; Beebe, Laura A

    2015-01-01

    Oklahoma's tribal tobacco shops are distributed throughout the state, including in urban areas. During the time frame of this study, state excise tax rates for cigarettes varied by tribe and region, and took five distinct levels, ranging from 5.75 cents to $1.03 per pack. To describe the pricing behavior of these smoke shops in a way that could support potential increases in the tribal taxation of cigarettes within the state. Two waves (2010 and 2011) of site visits were conducted, covering nearly all tribal smoke shops in the northeastern quarter of the state, an area containing the city of Tulsa and 60% of all tribal outlets. Researchers recorded representative prices and verified the tax rate paid (via tax stamp) for each shop. Data were analyzed in 2013. Lower-taxed tribal cigarettes tended to be priced at discounts that were even greater than the differential in tax rates. For example, across waves, the average pack of Marlboros from a shop with a 5.75-cent tax stamp sold for 52 cents less than the same pack from a 25.75-cent shop and 60 cents less than from a 51.5-cent shop. The minimal inter-tribal price response to the discontinuation of large quantities of contraband cigarette sales suggests that inter-tribal price competition in the Tulsa area is not as intense as expected. Ample scope exists for either unilateral or coordinated cross-tribal tax and price increases that will increase tribal cigarette tax revenue collections and improve public health. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  17. Designing for scale: optimising the health information system architecture for mobile maternal health messaging in South Africa (MomConnect).

    Science.gov (United States)

    Seebregts, Christopher; Dane, Pierre; Parsons, Annie Neo; Fogwill, Thomas; Rogers, Debbie; Bekker, Marcha; Shaw, Vincent; Barron, Peter

    2018-01-01

    MomConnect is a national initiative coordinated by the South African National Department of Health that sends text-based mobile phone messages free of charge to pregnant women who voluntarily register at any public healthcare facility in South Africa. We describe the system design and architecture of the MomConnect technical platform, planned as a nationally scalable and extensible initiative. It uses a health information exchange that can connect any standards-compliant electronic front-end application to any standards-compliant electronic back-end database. The implementation of the MomConnect technical platform, in turn, is a national reference application for electronic interoperability in line with the South African National Health Normative Standards Framework. The use of open content and messaging standards enables the architecture to include any application adhering to the selected standards. Its national implementation at scale demonstrates both the use of this technology and a key objective of global health information systems, which is to achieve implementation scale. The system's limited clinical information, initially, allowed the architecture to focus on the base standards and profiles for interoperability in a resource-constrained environment with limited connectivity and infrastructural capacity. Maintenance of the system requires mobilisation of national resources. Future work aims to use the standard interfaces to include data from additional applications as well as to extend and interface the framework with other public health information systems in South Africa. The development of this platform has also shown the benefits of interoperability at both an organisational and technical level in South Africa.

  18. Connecting Patients to mHealth Applications to Enhance Self-care Management.

    Science.gov (United States)

    Conroy, Meghan K

    2015-09-01

    Smartphone use and the desire to use mHealth are growing in the population of patients who most commonly use home healthcare (HHC) services, a population with chronic conditions and complex healthcare management needs. HHC nurses are positioned to connect HHC patients with mHealth Apps to access health-related information, engage in interactive monitoring, and manage self-care activities. The challenge of finding reputable Apps is discussed and resources are presented to overcome this challenge at the business orindividual level.

  19. Bringing Health and Fitness Data Together for Connected Health Care: Mobile Apps as Enablers of Interoperability

    OpenAIRE

    Gay, Valerie; Leijdekkers, Peter

    2015-01-01

    Background A transformation is underway regarding how we deal with our health. Mobile devices make it possible to have continuous access to personal health information. Wearable devices, such as Fitbit and Apple?s smartwatch, can collect data continuously and provide insights into our health and fitness. However, lack of interoperability and the presence of data silos prevent users and health professionals from getting an integrated view of health and fitness data. To provide better health ou...

  20. Tapping into Our Tribal Heritage

    DEFF Research Database (Denmark)

    Grodal, Torben Kragh

    2012-01-01

    The article analyzes The Lord of the Rings by using cognitive and neurological theory in combination with evolutionary theory. It first provide a short introduction to bio-culturalist theories of how biology and culture interact. It then describes the basic human emotional systems and how...... they are activated in The Lord of the Rings. It further describe how fundamental psychological dispositions are linked to tribalism, to group living, including dispositions for in-group altruism and warrior bonding, and how group living enhanced dispositions to submit to social hierarchies, that in The Lord...

  1. 77 FR 48159 - Tribal Consultation Meeting

    Science.gov (United States)

    2012-08-13

    ... Anchorage Hotel, 500 West Third Avenue, Anchorage, AK 99501. FOR FURTHER INFORMATION CONTACT: Ann Linehan... convention. As much as possible, OHS Tribal Consultations are scheduled in conjunction with other Tribal... delivery of Head Start services in their geographic locations. In addition, OHS will share actions taken...

  2. 77 FR 71833 - Tribal Consultation Policy

    Science.gov (United States)

    2012-12-04

    ... Relationship and Tribal Self- Determination B. Open Communications and Respect for Cultural Values and... viewed online in their entirety at: http://www.regulations.gov/#!docketDetail ;dct=FR%252BPR%252BN%252BO...-Government Relationship and Tribal Self-Determination One commenter recommended editing this section to...

  3. A study of acceptors and non-acceptors of family planning methods among three tribal communities.

    Science.gov (United States)

    Mutharayappa, R

    1995-03-01

    Primary data were collected from 399 currently married women of the Marati, Malekudiya, and Koraga tribes in the Dakshina Kannada district of Karnataka State in this study of the implementation of family planning programs in tribal areas. The Marati, Malekudiya, and Koraga tribes are three different endogamous tribal populations living in similar ecological conditions. Higher levels of literacy and a high rate of acceptance of family planning methods, however, have been observed among these tribes compared to the rest of the tribal population in the state. 46.4% of currently married women aged 15-49 years in the tribes were acceptors of family planning methods, having a mean 3.7 children. The majority of acceptors opted for tubectomy and vasectomy. The adoption of spacing methods is less common among tribal people. Most acceptors received their operations through government health facilities. They were motivated mainly by female health workers and received both cash and other incentives to accept family planning. The main reason for non-acceptance of family planning among non-acceptors was the desire to conceive and bear more children. The data indicate that most of the tribal households are nuclear families with household size more or less similar to that of the general population. They have a higher literacy rate than the rest of the tribal population in the state, with literacy levels between males and females and between the three tribes being quite different; the school enrollment ratio is relatively higher for both boys and girls.

  4. Connectivity, prison environment and mental health among first-time male inmates in Mexico City.

    Science.gov (United States)

    Albertie, Ariel; Bourey, Christine; Stephenson, Rob; Bautista-Arredondo, Sergio

    2017-02-01

    Research from high-income countries suggests that prison populations are affected disproportionately by mental illness. However, little research has examined mental health among prisoners in low- and middle-income countries or associations between mental health and contextual factors surrounding the prison experience among susceptible first-time inmates in these settings. The current study examines associations between connectivity, prison environment and mental health (major depression and substance use) among novice male inmates (n = 593) in three Mexico City prisons. Severe depression (46.2%), any substance use (53.8%) and heavy substance use (45.7%) were prevalent. Among key co-variates, recent visitors were protective for severe depression, conjugal visits for any substance use and prison employment for heavy substance use. Physical attacks were associated with increased prevalence of depression, sentence time served with both any and heavy substance use and overcrowding with any substance use. These findings suggest the need for routine health assessments to improve identification and treatment programmes to minimise mental health burden. Addressing demographic risk factors as well as contextual determinants, by decreasing physical violence and overcrowding and supporting outside connections for prisoners, may help improve inmate mental health.

  5. Is the emotion-health connection a "first-world problem"?

    Science.gov (United States)

    Pressman, Sarah D; Gallagher, Matthew W; Lopez, Shane J

    2013-04-01

    Emotions have been shown to play a critical role in health outcomes, but research on this topic has been limited to studies in industrialized countries, which prevents broad generalizations. This study assessed whether emotion-health connections persist across various regions, including less-developed countries, where the degree to which people's fundamental needs are met might be a better predictor of physical well-being. Individuals from 142 countries (N = 150,048) were surveyed about their emotions, health, hunger, shelter, and threats to safety. Both positive and negative emotions exhibited unique, moderate effects on self-reported health, and together, they accounted for 46.1% of the variance. These associations were stronger than the relative impact of hunger, homelessness, and threats to safety and were not simply attributable to countries' gross domestic products (GDPs). Furthermore, connections between positive emotion and health were stronger in low-GDP countries than in high-GDP countries. Our findings suggest that emotion matters for health around the globe and may in fact be more critical in less-developed areas.

  6. Health activism and the logic of connective action. A case study of rare disease patient organisations.

    Science.gov (United States)

    Vicari, Stefania; Cappai, Franco

    2016-11-01

    This exploratory work investigates the role of digital media in expanding health discourse practices in a way to transform traditional structures of agency in public health. By focusing on a sample of rare disease patient organisations as representative of contemporary health activism, this study investigates the role of digital communication in the development of (1) bottom-up sharing and co-production of health knowledge, (2) health public engagement dynamics and (3) health information pathways. Findings show that digital media affordances for patient organisations go beyond the provision of social support for patient communities; they ease one-way, two-way and crowdsourced processes of health knowledge sharing, exchange and co-production, provide personalised routes to health public engagement and bolster the emergence of varied pathways to health information where experiential knowledge and medical authority are equally valued. These forms of organisationally enabled connective action can help the surfacing of personal narratives that strengthen patient communities, the bottom-up production of health knowledge relevant to a wider public and the development of an informational and eventually cultural context that eases patients' political action.

  7. Genetic portrait of Tamil non-tribal and Irula tribal population using Y chromosome STR markers.

    Science.gov (United States)

    Raghunath, Rajshree; Krishnamoorthy, Kamalakshi; Balasubramanian, Lakshmi; Kunka Mohanram, Ramkumar

    2016-03-01

    The 17 Y chromosomal short tandem repeat loci included in the AmpFlSTR® Yfiler™ PCR Amplification Kit were used to analyse the genetic diversity of 517 unrelated males representing the non-tribal and Irula tribal population of Tamil Nadu. A total of 392 unique haplotypes were identified among the 400 non-tribal samples whereas 111 were observed among the 117 Irula tribal samples. Rare alleles for the loci DYS458, DYS635 and YGATAH4.1 were also observed in both population. The haplotype diversity for the non-tribal and Irula tribal population were found to be 0.9999, and the gene diversity ranged from 0.2041 (DYS391) to 0.9612 (DYS385). Comparison of the test population with 26 national and global population using principal coordinate analysis (PCoA) and determination of the genetic distance matrix using phylogenetic molecular analysis indicate a clustering of the Tamil Nadu non-tribal and Irula tribal population away from other unrelated population and proximity towards some Indo-European (IE) and Asian population. Data are available in the Y chromosome haplotype reference database (YHRD) under accession number YA004055 for Tamil non-tribal and YA004056 for the Irula tribal group.

  8. Pacific connections for health, ecosystems and society: new approaches to the land-water-health nexus.

    Science.gov (United States)

    Parkes, Margot W

    2016-03-01

    Renewed effort to understand the social-ecological context of health is drawing attention to the dynamics of land and water resources and their combined influence on the determinants of health. A new area of research, education and policy is emerging that focuses on the land-water-health nexus: this orientation is applicable from small wetlands through to large-scale watersheds or river basins, and draws attention to the benefits of combined land and water governance, as well as the interrelated implications for health, ecological and societal concerns. Informed by research precedents, imperatives and collaborations emerging in Canada and parts of Oceania, this review profiles three integrative, applied approaches that are bringing attention to the importance the land-water-health nexus within the Pacific Basin: wetlands and watersheds as intersectoral settings to address land-water-health dynamics; tools to integrate health, ecological and societal dynamics at the land-water-health nexus; and indigenous leadership that is linking health and well-being with land and water governance. Emphasis is given to key characteristics of a new generation of inquiry and action at the land-water-health nexus, as well as capacity-building, practice and policy opportunities to address converging environmental, social and health objectives linked to the management and governance of land and water resources.

  9. Optimizing network connectivity for mobile health technologies in sub-Saharan Africa.

    Science.gov (United States)

    Siedner, Mark J; Lankowski, Alexander; Musinga, Derrick; Jackson, Jonathon; Muzoora, Conrad; Hunt, Peter W; Martin, Jeffrey N; Bangsberg, David R; Haberer, Jessica E

    2012-01-01

    Mobile health (mHealth) technologies hold incredible promise to improve healthcare delivery in resource-limited settings. Network reliability across large catchment areas can be a major challenge. We performed an analysis of network failure frequency as part of a study of real-time adherence monitoring in rural Uganda. We hypothesized that the addition of short messaging service (SMS+GPRS) to the standard cellular network modality (GPRS) would reduce network disruptions and improve transmission of data. Participants were enrolled in a study of real-time adherence monitoring in southwest Uganda. In June 2011, we began using Wisepill devices that transmit data each time the pill bottle is opened. We defined network failures as medication interruptions of >48 hours duration that were transmitted when network connectivity was re-established. During the course of the study, we upgraded devices from GPRS to GPRS+SMS compatibility. We compared network failure rates between GPRS and GPRS+SMS periods and created geospatial maps to graphically demonstrate patterns of connectivity. One hundred fifty-seven participants met inclusion criteria of seven days of SMS and seven days of SMS+GPRS observation time. Seventy-three percent were female, median age was 40 years (IQR 33-46), 39% reported >1-hour travel time to clinic and 17% had home electricity. One hundred one had GPS coordinates recorded and were included in the geospatial maps. The median number of network failures per person-month for the GPRS and GPRS+SMS modalities were 1.5 (IQR 1.0-2.2) and 0.3 (IQR 0-0.9) respectively, (mean difference 1.2, 95%CI 1.0-1.3, p-valueImprovements in network connectivity were notable throughout the region. Study costs increased by approximately $1USD per person-month. Addition of SMS to standard GPRS cellular network connectivity can significantly reduce network connection failures for mobile health applications in remote areas. Projects depending on mobile health data in resource

  10. A socioecological approach to improving mammography rates in a tribal community.

    Science.gov (United States)

    English, Kevin C; Fairbanks, Jo; Finster, Carolyn E; Rafelito, Alvin; Luna, Jolene; Kennedy, Marianna

    2008-06-01

    This article highlights the processes and intermediate outcomes of a pilot project to increase mammography rates of women in an American Indian tribe in New Mexico. Using a socioecological framework and principles of community-based participatory research, a community coalition was able to (a) bolster local infrastructure to increase access to mammography services; (b) build public health knowledge and skills among tribal health providers; (c) identify community-specific knowledge, attitudes, and beliefs related to breast cancer; (d) establish interdependent partnerships among community health programs and between the tribe and outside organizations; and (e) adopt local policy initiatives to bolster tribal cancer control. These findings demonstrate the value of targeting a combination of individual, community, and environmental factors, which affect community breast cancer screening rates and incorporating cultural strengths and resources into all facets of a tribal health promotion intervention.

  11. CULTURAL TOURISM: BANGLADESH TRIBAL AREAS PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Tasnuba NASIR

    2011-12-01

    Full Text Available Tourism is the world's largest industry which is linked with thousands of associated business. Though Bangladesh is a small country in terms of its size it contains huge prospect in its tourism including culture. Bangladesh culture is very rich which initiated long ago with different dimensions. Chittagong hill tracts of Bangladesh are a place of tribal. Tribal are having their own rich culture which is very attractive and nice looking. This study focused on tribal culture and its tourists. This paper also seeks about problems of cultural tourism in Bangladesh.

  12. Tribal communities and coal in Northeast India: The politics of imposing and resisting mining bans

    International Nuclear Information System (INIS)

    McDuie-Ra, Duncan; Kikon, Dolly

    2016-01-01

    Bans on coal mining have been implemented in two tribal majority states in India's north-east frontier; Nagaland and Meghalaya. In Nagaland the state government imposed the ban in an attempt to capture control of coal extraction and trade, while in Meghalaya India's National Green Commission imposed the ban over concern for the environment and labour conditions. In both cases local communities have opposed the bans, and in some areas resumed mining under the authority of tribal councils and powerful civil society actors. In this paper we explore the politics of coal extraction that resulted in these bans and the response of communities and authorities. In doing so we made three main arguments that contribute to understanding of coal and communities in frontier regions where state control is partial and the legacy of armed conflict is powerful. First, in both locations the majority of the coal mining activity has been initiated and managed by members of tribal communities rather than profit-driven outsiders. Second, in contrast to other contexts in India (notably Orissa and Jharkhand) where large state or private enterprises seek to modify the law to enable coal extraction, in Nagaland and Meghalaya it has been communities that resent and challenge state and national laws being applied to their lands. Third, the right to extract coal is connected to the right of tribal communities to determine what happens on their lands. - Highlights: • Tribal communities initiate and manage coal mining in Nagaland and Meghalaya. • Laws banning coal extraction have been challenged and resisted by local communities. • The right to extract coal is tied to protecting tribal land rights. • Tribal autonomy in coal policy is progressive, yet enables capture by local elites. • Where there has been regulation of coal mining it has come from unexpected sources.

  13. Wind Development on Tribal Lands

    Energy Technology Data Exchange (ETDEWEB)

    Ken Haukaas; Dale Osborn; Belvin Pete

    2008-01-18

    Background: The Rosebud Sioux Tribe (RST) is located in south central South Dakota near the Nebraska border. The nearest community of size is Valentine, Nebraska. The RST is a recipient of several Department of Energy grants, written by Distributed Generation Systems, Inc. (Disgen), for the purposes of assessing the feasibility of its wind resource and subsequently to fund the development of the project. Disgen, as the contracting entity to the RST for this project, has completed all the pre-construction activities, with the exception of the power purchase agreement and interconnection agreement, to commence financing and construction of the project. The focus of this financing is to maximize the economic benefits to the RST while achieving commercially reasonable rates of return and fees for the other parties involved. Each of the development activities required and its status is discussed below. Land Resource: The Owl Feather War Bonnet 30 MW Wind Project is located on RST Tribal Trust Land of approximately 680 acres adjacent to the community of St. Francis, South Dakota. The RST Tribal Council has voted on several occasions for the development of this land for wind energy purposes, as has the District of St. Francis. Actual footprint of wind farm will be approx. 50 acres. Wind Resource Assessment: The wind data has been collected from the site since May 1, 2001 and continues to be collected and analyzed. The latest projections indicate a net capacity factor of 42% at a hub height of 80 meters. The data has been collected utilizing an NRG 9300 Data logger System with instrumentation installed at 30, 40 and 65 meters on an existing KINI radio tower. The long-term annual average wind speed at 65-meters above ground level is 18.2 mph (8.1 mps) and 18.7 mph (8.4 mps) at 80-meters agl. The wind resource is excellent and supports project financing.

  14. The Utrecht Healthy School Project: Connecting adolescent health behavior, academic achievement and Health Promoting Schools

    NARCIS (Netherlands)

    Busch, V.

    2014-01-01

    Unhealthy behaviors contribute to the development of diseases such as diabetes, cardiovascular disease and psychiatric disorders. Most often these behaviors develop in the teenage years. This thesis addresses the following topics: (1) How do health-related behaviors cluster and affect health in

  15. Recruitment and Baseline Characteristics of American Indian Tribal College Students Participating in a Tribal College Tobacco and Behavioral Survey.

    Science.gov (United States)

    Choi, Won S; Nazir, Niaman; Pacheco, Christina M; Filippi, Melissa K; Pacheco, Joseph; White Bull, Julia; Nance, Christi; Faseru, Babalola; Greiner, K Allen; Daley, Christine Makosky

    2016-06-01

    American Indians (AIs) have the highest cigarette smoking rates of any racial/ethnic group in the United States. Although the overall smoking prevalence in the United States for nonminority populations has decreased over the past several decades, the same pattern is not observed among AIs. The purpose of this observational study was to collect cigarette smoking and related information from American Indian tribal college students to inform tailored interventions. We conducted a repeated cross-sectional survey of American Indian tribal college students, Tribal College Tobacco and Behavior Survey (TCTABS), with a focus on recruiting all incoming freshman at three participating tribal colleges in the Midwest and Northern Plains regions. A total of 1256 students participated in the baseline surveys between April 2011 and October 2014. The overall smoking prevalence of this sample was 34.7%, with differences by region (Northern Plains-44.0% and Midwest-28%). The majority, 87.5% of current smokers reported smoking 10 or less cigarettes per day, 41% reported smoking menthol cigarettes, 52% smoked Marlboro brand, and the mean age of their first cigarette was 14 years. The majority, 62% had made at least one quit attempt in the past year. The overwhelming majority of respondents, regardless of their smoking status, thought that the current smoking prevalence on campus was greater than 41% and approximately one-third believed that it was as high as 61%. Very few studies of smoking have been conducted in this population and results from our study confirm the need for effective interventions. AIs have the highest cigarette smoking rates compared to other racial/ethnic groups in the United States. Furthermore, limited studies have examined the epidemiology of cigarette smoking among tribal college students. This study addresses health disparities related to smoking among college students by examining the demographic, cultural, and environmental characteristics of smoking and

  16. Health and illness in a connected world: how might sharing experiences on the internet affect people's health?

    Science.gov (United States)

    Ziebland, Sue; Wyke, Sally

    2012-06-01

    The use of the Internet for peer-to-peer connection has been one of its most dramatic and transformational features. Yet this is a new field with no agreement on a theoretical and methodological basis. The scientific base underpinning this activity needs strengthening, especially given the explosion of web resources that feature experiences posted by patients themselves. This review informs a National Institute for Health Research (NIHR) (UK) research program on the impact of online patients' accounts of their experiences with health and health care, which includes the development and validation of a new e-health impact questionnaire. We drew on realist review methods to conduct a conceptual review of literature in the social and health sciences. We developed a matrix to summarize the results, which we then distilled from a wide and diverse reading of the literature. We continued reading until we reached data saturation and then further refined the results after testing them with expert colleagues and a public user panel. We identified seven domains through which online patients' experiences could affect health. Each has the potential for positive and negative impacts. Five of the identified domains (finding information, feeling supported, maintaining relationships with others, affecting behavior, and experiencing health services) are relatively well rehearsed, while two (learning to tell the story and visualizing disease) are less acknowledged but important features of online resources. The value of first-person accounts, the appeal and memorability of stories, and the need to make contact with peers all strongly suggest that reading and hearing others' accounts of their own experiences of health and illnesss will remain a key feature of e-health. The act of participating in the creation of health information (e.g., through blogging and contributing to social networking on health topics) also influences patients' experiences and has implications for our

  17. Public health legal preparedness in Indian country.

    Science.gov (United States)

    Bryan, Ralph T; Schaefer, Rebecca McLaughlin; DeBruyn, Lemyra; Stier, Daniel D

    2009-04-01

    American Indian/Alaska Native tribal governments are sovereign entities with inherent authority to create laws and enact health regulations. Laws are an essential tool for ensuring effective public health responses to emerging threats. To analyze how tribal laws support public health practice in tribal communities, we reviewed tribal legal documentation available through online databases and talked with subject-matter experts in tribal public health law. Of the 70 tribal codes we found, 14 (20%) had no clearly identifiable public health provisions. The public health-related statutes within the remaining codes were rarely well integrated or comprehensive. Our findings provide an evidence base to help tribal leaders strengthen public health legal foundations in tribal communities.

  18. Tribal Green Building Administrative Code Example

    Science.gov (United States)

    This Tribal Green Building Administrative Code Example can be used as a template for technical code selection (i.e., building, electrical, plumbing, etc.) to be adopted as a comprehensive building code.

  19. Pinoleville Pomo Nation Tribal Green Building Code

    Science.gov (United States)

    The Pinoleville Pomo Nation (PPN) worked with the U.S. Environmental Protection Agency (EPA) and the Development Center for Appropriate Technology (DCAT) to create this framework for tribal building codes.

  20. 77 FR 895 - Tribal Child Welfare

    Science.gov (United States)

    2012-01-06

    ... note that for title IV-E funding purposes, criminal record and child abuse and neglect registry checks... Administration for Children and Families 45 CFR Parts 1355 and 1356 Tribal Child Welfare; Interim Final Rule #0... 896

  1. Research on tuberculosis in tribal areas in India: A systematic review.

    Science.gov (United States)

    Rao, V G; Muniyandi, M; Bhat, J; Yadav, R; Sharma, R

    2018-01-01

    Tuberculosis (TB) remains a major public health problem in resource-poor countries including India. Scientific knowledge is used to guide policy and practice. There is however, a limited, systematically collected data required for guiding the scale-up of interventions particularly amongst vulnerable populations including tribal groups in the country. In view of this, a systematic review of the TB research studies carried out in tribal areas of different parts of the country was undertaken. To undertake a systematic review of the TB research studies carried out in tribal areas of India between 1996 and 2016. A systematic review of English articles published between 1996 and 2016 on any aspect of TB was done through internet searches using Literature search EndNote programme. The words used for searching were tuberculosis, India, tribal, indigenous, disadvantaged, adivasi. The most common topics classified as annual risk of tuberculosis infection (ARTI), prevalence of TB, laboratory studies, clinical symptoms of TB, risk factors for TB, knowledge attitude practice, community Directly Observed Treatment (DOT) providers, performance of Revised National Tuberculosis Control Programme (RNTCP), and drug resistant TB. Classification was also done on the basis of the type of tribe studied and place of study conducted. A total of 47 studies identified through the search were included in the review. Of the 47 studies reviewed, 12 were on TB prevalence, 7 were laboratory studies, four on ARTI and 5 on performance of RNTCP in tribal areas. Among these, majority (23 studies) of the tribal studies did not mention the type of tribe. Ten studies were conducted among Saharia, a particularly vulnerable tribal group in the Indian state of Madhya Pradesh mainly by the National Institute for Research on Tribal Health, five were among the mixed tribes and very few on other tribes. The systematic review indicates that the research studies on TB among tribal population are very few. There

  2. Processes linking cultural ingroup bonds and mental health: the roles of social connection and emotion regulation.

    Science.gov (United States)

    Roberts, Nicole A; Burleson, Mary H

    2013-01-01

    Cultural and ethnic identities influence the relationships individuals seek out and how they feel and behave in these relationships, which can strongly affect mental and physical health through their impacts on emotions, physiology, and behavior. We proposed and tested a model in which ethnocultural identifications and ingroup affiliations were hypothesized explicitly to enhance social connectedness, which would in turn promote expectancy for effective regulation of negative emotions and reduce self-reported symptoms of depression and anxiety. Our sample comprised women aged 18-30 currently attending college in the Southwestern US, who self-identified as Hispanic of Mexican descent (MAs; n = 82) or as non-Hispanic White/European American (EAs; n = 234) and who completed an online survey. In the full sample and in each subgroup, stronger ethnocultural group identity and greater comfort with mainstream American culture were associated with higher social connectedness, which in turn was associated with expectancy for more effective regulation of negative emotions, fewer depressive symptoms, and less anxiety. Unexpectedly, preference for ingroup affiliation predicted lower social connectedness in both groups. In addition to indirect effects through social connection, direct paths from mainstream comfort and preference for ingroup affiliation to emotion regulation expectancy were found for EAs. Models of our data underscore that social connection is a central mechanism through which ethnocultural identities-including with one's own group and the mainstream cultural group-relate to mental health, and that emotion regulation may be a key aspect of this linkage. We use the term ethnocultural social connection to make explicit a process that, we believe, has been implied in the ethnic identity literature for many years, and that may have consequential implications for mental health and conceptualizations of processes underlying mental disorders.

  3. Processes linking cultural ingroup bonds and mental health: the roles of social connection and emotion regulation

    Science.gov (United States)

    Roberts, Nicole A.; Burleson, Mary H.

    2013-01-01

    Cultural and ethnic identities influence the relationships individuals seek out and how they feel and behave in these relationships, which can strongly affect mental and physical health through their impacts on emotions, physiology, and behavior. We proposed and tested a model in which ethnocultural identifications and ingroup affiliations were hypothesized explicitly to enhance social connectedness, which would in turn promote expectancy for effective regulation of negative emotions and reduce self-reported symptoms of depression and anxiety. Our sample comprised women aged 18–30 currently attending college in the Southwestern US, who self-identified as Hispanic of Mexican descent (MAs; n = 82) or as non-Hispanic White/European American (EAs; n = 234) and who completed an online survey. In the full sample and in each subgroup, stronger ethnocultural group identity and greater comfort with mainstream American culture were associated with higher social connectedness, which in turn was associated with expectancy for more effective regulation of negative emotions, fewer depressive symptoms, and less anxiety. Unexpectedly, preference for ingroup affiliation predicted lower social connectedness in both groups. In addition to indirect effects through social connection, direct paths from mainstream comfort and preference for ingroup affiliation to emotion regulation expectancy were found for EAs. Models of our data underscore that social connection is a central mechanism through which ethnocultural identities—including with one's own group and the mainstream cultural group—relate to mental health, and that emotion regulation may be a key aspect of this linkage. We use the term ethnocultural social connection to make explicit a process that, we believe, has been implied in the ethnic identity literature for many years, and that may have consequential implications for mental health and conceptualizations of processes underlying mental disorders. PMID:23450647

  4. Processes linking cultural ingroup bonds and mental health: The roles of social connection and emotion regulation

    Directory of Open Access Journals (Sweden)

    Nicole A Roberts

    2013-02-01

    Full Text Available Cultural and ethnic identities influence the relationships individuals seek out and how they feel and behave in these relationships, which can strongly affect mental and physical health through their impacts on emotions, physiology, and behavior. We proposed and tested a model in which ethnocultural identifications and ingroup affiliations were hypothesized explicitly to enhance social connectedness, which would in turn promote expectancy for effective regulation of negative emotions and reduce self-reported symptoms of depression and anxiety. Our sample comprised women aged 18 to 30 currently attending college in the Southwestern US, who self-identified as Hispanic of Mexican descent (n=82; MAs or as non-Hispanic White/European American (EAs; n=234 and who completed an online survey. In the full sample and in each subgroup, stronger ethnocultural group identity and greater comfort with mainstream American culture were associated with higher social connectedness, which in turn was associated with expectancy for more effective regulation of negative emotions, fewer depressive symptoms, and less anxiety. Unexpectedly, preference for ingroup affiliation predicted lower social connectedness in both groups. In addition to indirect effects through social connection, direct paths from mainstream comfort and preference for ingroup affiliation to emotion regulation expectancy were found for EAs. Models of our data underscore that social connection is a central mechanism through which ethnocultural identities—including with one’s own group and the mainstream cultural group—relate to mental health, and that emotion regulation may be a key aspect of this linkage. We use the term ethnocultural social connection to make explicit a process that, we believe, has been implied in the ethnic identity literature for many years, and that may have consequential implications for mental health and conceptualizations of processes underlying mental disorders.

  5. Integrated specialty service readiness in health reform: connections in haemophilia comprehensive care.

    Science.gov (United States)

    Pritchard, A M; Page, D

    2008-05-01

    The World Health Organization (WHO) has identified primary healthcare reform as a global priority whereby innovative practice changes are directed at improving health. This transformation to health reform in haemophilia service requires clarification of comprehensive care to reflect the WHO definition of health and key elements of primary healthcare reform. While comprehensive care supports effective healthcare delivery, comprehensive care must also be regarded beyond immediate patient management to reflect the broader system purpose in the care continuum with institutions, community agencies and government. Furthermore, health reform may be facilitated through integrated service delivery (ISD). ISD in specialty haemophilia care has the potential to reduce repetition of assessments, enhance care plan communication between providers and families, provide 24-h access to care, improve information availability regarding care quality and outcomes, consolidate access for multiple healthcare encounters and facilitate family self-efficacy and autonomy [1]. Three core aspects of ISD have been distinguished: clinical integration, information management and technology and vertical integration in local communities [2]. Selected examples taken from Canadian haemophilia comprehensive care illustrate how practice innovations are bridged with a broader system level approach and may support initiatives in other contexts. These innovations are thought to indicate readiness regarding ISD. Reflecting on the existing capacity of haemophilia comprehensive care teams will assist providers to connect and direct their existing strengths towards ISD and health reform.

  6. Patient-provider connectivity and the role of e-health.

    Science.gov (United States)

    Holmes, Suzanne C; Kearns, Ellen Hope

    2003-01-01

    Patient-provider connectivity (PPC) offers innovative approaches to control costs, improve quality, and sustain a healthy workforce. The application of e-commerce to health care is one facet of PPC and provides solutions to educating, informing, and more efficiently using scarce resources to sustain the nation's health. Technology is available to provide real-time access to clinical results, medical records, health-care providers, and other time-sensitive patient information. This is the first article in a series on PPC that explores the application of e-commerce to the health-care industry from the consumers' and providers' points of view and examines and assesses trends and data from various interdisciplinary sources and studies. Two models exemplifying PPC are explored including the Science Business & Education, Inc., proof-of-concept patient demonstration project, and the emerging application of peer-to-peer (P2P) technology. PPC promises to improve efficiency, facilitate communication between physician and patient, monitor compliance with medical regimens, and positively affect the quality of health care provided and the overall health of the patient. Future articles will address the growth of telemedicine, issues of confidentiality and e-risk, and other PPC applications.

  7. The Four Domains Model: Connecting Spirituality, Health and Well-Being

    Directory of Open Access Journals (Sweden)

    John Fisher

    2011-01-01

    Full Text Available At our core, or coeur, we humans are spiritual beings. Spirituality can be viewed in a variety of ways from a traditional understanding of spirituality as an expression of religiosity, in search of the sacred, through to a humanistic view of spirituality devoid of religion. Health is also multi-faceted, with increasing evidence reporting the relationship of spirituality with physical, mental, emotional, social and vocational well-being. This paper presents spiritual health as a, if not THE, fundamental dimension of people’s overall health and well-being, permeating and integrating all the other dimensions of health. Spiritual health is a dynamic state of being, reflected in the quality of relationships that people have in up to four domains of spiritual well-being: Personal domain where a person intra-relates with self; Communal domain, with in-depth inter-personal relationships; Environmental domain, connecting with nature; Transcendental domain, relating to some-thing or some‑One beyond the human level. The Four Domains Model of Spiritual Health and Well‑Being embraces all extant world-views from the ardently religious to the atheistic rationalist.

  8. Mobile health messaging service and helpdesk for South African mothers (MomConnect): history, successes and challenges

    Science.gov (United States)

    Barron, Peter; Peter, Joanne; Sebidi, Jane; Bekker, Marcha; Allen, Robert; Parsons, Annie Neo; Benjamin, Peter; Pillay, Yogan

    2018-01-01

    MomConnect is a flagship programme of the South African National Department of Health that has reached over 1.5 million pregnant women. Using mobile technology, MomConnect provides pregnant and postpartum women with twice-weekly health information text messages as well as access to a helpdesk for patient queries and feedback. In just 3 years, MomConnect has been taken to scale to reach over 95% of public health facilities and has reached 63% of all pregnant women attending their first antenatal appointment. The helpdesk has received over 300 000 queries at an average of 250 per day from 6% of MomConnect users. The service is entirely free to its users. The rapid deployment of MomConnect has been facilitated by strong government leadership, and an ecosystem of mobile health implementers who had experience of much of the content and technology required. An early decision to design MomConnect for universal coverage has required the use of text-based technologies (short messaging service and Unstructured Supplementary Service Data) that are accessible via even the most basic mobile phones, but cumbersome to use and costly at scale. Unlike previous mobile messaging services in South Africa, MomConnect collects the user’s identification number and facility code during registration, enabling future linkages with other health and population databases and geolocated feedback. MomConnect has catalysed additional efforts to strengthen South Africa’s digital health architecture. The rapid growth in smartphone penetration presents new opportunities to reduce costs, increase real-time data collection and expand the reach and scope of MomConnect to serve health workers and other patient groups. PMID:29713503

  9. High Out-of-Pocket Health Spending in Countries With a Mediterranean Connection

    Directory of Open Access Journals (Sweden)

    Simon Grima

    2018-05-01

    Full Text Available In this study, we analyzed healthcare provision and health expenditure across six Mediterranean countries that adopt the National Health System (Beveridge model and that form part of the European Union (EU with the main aim being that of analyzing and comparing out-of-pocket health spending in countries with a European Mediterranean connection. To this end, we considered various economic indicators and statistics to derive commonalities and differences across these countries and also compared trends in these indicators to those observed across the rest of the EU. We then analyzed these findings in light of other data related to the quality of healthcare delivery and the infrastructure of the health system and discussed recent developments in healthcare within each country and the main challenges faced by the respective health systems. The results show that on average, Mediterranean countries spend less on total healthcare expenditure (THE than the EU average, both as a proportion of GDP, as well as in per capita terms. This is primarily driven by lower-than-EU-average public funding of healthcare. The 2008/2009 macro-economic and financial crisis had a significant impact on the countries under review, and explains the persistent reductions in public health spending as part of the austerity measures put in force across sectors. On the flipside, Mediterranean countries have a higher presence of private health providers in total funding, thereby explaining the higher Out-of-Pocket (OOPs health expenditures in these countries relative to the EU-average. With regard to the overall health infrastructure in these countries, we observed that although the supply of physicians is largely in line with the rest of the EU, there is under-supply when it comes to hospital beds. This may be symptomatic of lower government funding. Nonetheless, all countries score highly in the evaluation of the quality of health services, as recorded by international rankings

  10. Health problems in connection with radiation from radioactive matter in fertilizers, soils and rocks

    International Nuclear Information System (INIS)

    Laag, J.

    1988-01-01

    Under the last world congress of the International Society of Soil Science in Hamburg in August 1986, the working group ''Soil and Geomedicine'' was set up. The symposium on health problems in connection with radiation from radioactive matter in fertilizers, soils and rocks was a joint arrangement of this working group and a permanent committe of The Norwegian Academy of Science and Letters. The book presents the full text of 13 of the papers presented at the symposium. Separate abstacts have been submitted for 12 of these papers

  11. Connecting the dots: interprofessional health education and delivery system redesign at the Veterans Health Administration.

    Science.gov (United States)

    Gilman, Stuart C; Chokshi, Dave A; Bowen, Judith L; Rugen, Kathryn Wirtz; Cox, Malcolm

    2014-08-01

    Health systems around the United States are embracing new models of primary care using interprofessional team-based approaches in pursuit of better patient outcomes, higher levels of satisfaction among patients and providers, and improved overall value. Less often discussed are the implications of new models of care for health professions education, including education for physicians, nurse practitioners, physician assistants, and other professions engaged in primary care. Described here is the interaction between care transformation and redesign of health professions education at the largest integrated delivery system in the United States: the Veterans Health Administration (VA). Challenges and lessons learned are discussed in the context of a demonstration initiative, the VA Centers of Excellence in Primary Care Education. Five sites, involving VA medical centers and their academic affiliates in Boise, Cleveland, San Francisco, Seattle, and West Haven, introduced interprofessional primary care curricula for resident physicians and nurse practitioner students beginning in 2011. Implementation struggles largely revolved around the operational logistics and cultural disruption of integrating educational redesign for medicine and nursing and facilitating the interface between educational and clinical activities. To realize new models for interprofessional teaching, faculty, staff, and trainees must understand the histories, traditions, and program requirements across professions and experiment with new approaches to achieving a common goal. Key recommendations for redesign of health professions education revolve around strengthening the union between interprofessional learning, team-based practice, and high-value care.

  12. Building Economic Security Today: making the health-wealth connection in Contra Costa county's maternal and child health programs.

    Science.gov (United States)

    Parthasarathy, Padmini; Dailey, Dawn E; Young, Maria-Elena D; Lam, Carrie; Pies, Cheri

    2014-02-01

    In recent years, maternal and child health professionals have been seeking approaches to integrating the Life Course Perspective and social determinants of health into their work. In this article, we describe how community input, staff feedback, and evidence from the field that the connection between wealth and health should be addressed compelled the Contra Costa Family, Maternal and Child Health (FMCH) Programs Life Course Initiative to launch Building Economic Security Today (BEST). BEST utilizes innovative strategies to reduce inequities in health outcomes for low-income Contra Costa families by improving their financial security and stability. FMCH Programs' Women, Infants, and Children Program (WIC) conducted BEST financial education classes, and its Medically Vulnerable Infant Program (MVIP) instituted BEST financial assessments during public health nurse home visits. Educational and referral resources were also developed and distributed to all clients. The classes at WIC increased clients' awareness of financial issues and confidence that they could improve their financial situations. WIC clients and staff also gained knowledge about financial resources in the community. MVIP's financial assessments offered clients a new and needed perspective on their financial situations, as well as support around the financial and psychological stresses of caring for a child with special health care needs. BEST offered FMCH Programs staff opportunities to engage in non-traditional, cross-sector partnerships, and gain new knowledge and skills to address a pressing social determinant of health. We learned the value of flexible timelines, maintaining a long view for creating change, and challenging the traditional paradigm of maternal and child health.

  13. Improvement of a uniqueness-and-anonymity-preserving user authentication scheme for connected health care.

    Science.gov (United States)

    Xie, Qi; Liu, Wenhao; Wang, Shengbao; Han, Lidong; Hu, Bin; Wu, Ting

    2014-09-01

    Patient's privacy-preserving, security and mutual authentication between patient and the medical server are the important mechanism in connected health care applications, such as telecare medical information systems and personally controlled health records systems. In 2013, Wen showed that Das et al.'s scheme is vulnerable to the replay attack, user impersonation attacks and off-line guessing attacks, and then proposed an improved scheme using biometrics, password and smart card to overcome these weaknesses. However, we show that Wen's scheme is still vulnerable to off-line password guessing attacks, does not provide user's anonymity and perfect forward secrecy. Further, we propose an improved scheme to fix these weaknesses, and use the applied pi calculus based formal verification tool ProVerif to prove the security and authentication.

  14. A robust uniqueness-and-anonymity-preserving remote user authentication scheme for connected health care.

    Science.gov (United States)

    Wen, Fengtong

    2013-12-01

    User authentication plays an important role to protect resources or services from being accessed by unauthorized users. In a recent paper, Das et al. proposed a secure and efficient uniqueness-and-anonymity-preserving remote user authentication scheme for connected health care. This scheme uses three factors, e.g. biometrics, password, and smart card, to protect the security. It protects user privacy and is believed to have many abilities to resist a range of network attacks, even if the secret information stored in the smart card is compromised. In this paper, we analyze the security of Das et al.'s scheme, and show that the scheme is in fact insecure against the replay attack, user impersonation attacks and off-line guessing attacks. Then, we also propose a robust uniqueness-and-anonymity-preserving remote user authentication scheme for connected health care. Compared with the existing schemes, our protocol uses a different user authentication mechanism to resist replay attack. We show that our proposed scheme can provide stronger security than previous protocols. Furthermore, we demonstrate the validity of the proposed scheme through the BAN (Burrows, Abadi, and Needham) logic.

  15. Clinical Examination Component of Telemedicine, Telehealth, mHealth, and Connected Health Medical Practices.

    Science.gov (United States)

    Weinstein, Ronald S; Krupinski, Elizabeth A; Doarn, Charles R

    2018-05-01

    Telemedicine and telehealth are the practices of medicine at a distance. Performing the equivalent of a complete clinical examination by telemedicine would be unusual. However, components of a more traditional clinical examination are part of the telemedicine workup for specific conditions. Telemedicine clinical examinations are facilitated, and enhanced, through the integration of a class of medical devices referred to as telemedicine peripherals (eg, electronic stethoscopes, tele-ophthalmoscopes, video-otoscopes, and so forth). Direct-to-consumer telehealth is a rapidly expanding segment of the health care service industry. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Weaved into the cultural fabric: a qualitative exploration of alcohol consumption during pregnancy among tribal women in Odisha, India

    OpenAIRE

    Pati, Sanghamitra; Chauhan, Abhimanyu Singh; Mahapatra, Pranab; Hansdah, Devraj; Sahoo, Krushna Chandra; Pati, Sandipana

    2018-01-01

    Background Evidence-based research has documented the association between alcohol intake during pregnancy and increased risk of miscarriage, stillbirth and congenital birth defects. Alcohol consumption is a complex behavior whose origins lay in cultural norms and the social structure. In tribal communities in India, alcohol misuse among women is a public health problem. This study is intended to explore perceptions and beliefs among tribal women and the community towards alcohol consumption d...

  17. Health Scenario of Major Tribals of Northern Orissa in Relation to Human Growth, Development and Nutrition and the Role of Genetic Factors in Smell and Tasting Abilities in Children

    Directory of Open Access Journals (Sweden)

    Balgir RS

    2011-01-01

    Full Text Available The nature of physical growth and development of children depends primarily upon the genetic endowments, nutritional status, psychosocial attitude and surrounding physical environmental conditions. School going children are the most important segment of the society who are affected by under- and mal-nutrition. Good nutrition is an indispensable component of healthy life. Tribal children studying in Ashram schools can be taken as representatives of the predominant tribes of the area. This study was aimed at evaluating the health profile in relation to growth, development and nutrition of a randomly selected cross section of 1038 Ashram school children aged six through 15 years in the state of Orissa. Following the standard methodology, it was noticed that nutritional complications are compounded due to ignorance, bad food habits, food fads, and poverty. About 71% of the Ashram school children showed mild to moderate anemia. According to different grades of malnutrition, the frequency of grade III malnutrition was very low in Ashram-school boys (1.4% and girls (3.5%, with an average of 2.3%. The grade I as well as grade II malnutrition was also higher in girls (grade II =24.3%; grade I= 37.6% as compared to boys (grade II=16.7%; grade I=31.5% with an average of 19.9% and 34.1%, respectively for grade II and grade I malnutrition. There was a consistent pattern of increase in height and weight in the year six through fifteen of age, showing that height and weight of the Ashram school children increases with the corresponding advancement of age in both boys and girls. In general, the girls were shorter and lighter in weight than the boys. This pattern is consistent in the present study of Ashram school children in Orissa. It has been observed that apart from the genetic potential, the intra-uterine environment, mother’s nutritional status before, during and post pregnancy, and neonatal nutrition and associated traditional behavior drastically

  18. Community Interagency Connections for Immigrant Worker Health Interventions, King County, Washington State, 2012-2013.

    Science.gov (United States)

    Tsai, Jenny Hsin-Chin; Petrescu-Prahova, Miruna

    2016-06-02

    Cross-sector community partnerships are a potentially powerful strategy to address population health problems, including health disparities. US immigrants - commonly employed in low-wage jobs that pose high risks to their health - experience such disparities because of hazardous exposures in the workplace. Hazardous exposures contribute to chronic health problems and complicate disease management. Moreover, prevention strategies such as worksite wellness programs are not effective for low-wage immigrant groups. The purpose of this article was to describe an innovative application of social network analysis to characterize interagency connections and knowledge needed to design and deliver a comprehensive community-based chronic disease prevention program for immigrant workers. Using iterative sample expansion, we identified 42 agencies representing diverse community sectors (service agencies, faith-based organizations, unions, nonprofits, government agencies) pertinent to the health of Chinese immigrant workers. To capture data on shared information, resources, and services as well as organizational characteristics, we jointly interviewed 2 representatives from each agency. We used social network analysis to describe interagency network structure and the positions of agencies within the networks. Agency interconnections were established primarily for information sharing. In the overall interagency network, a few service-oriented agencies held central or gatekeeper positions. Strong interconnectedness occurred predominately across service, public, and nonprofit sectors. The Chinese and Pan-Asian service sectors showed the strongest interconnectedness. Network analysis yields critical understanding of community structural links and assets needed to inform decisions about actual and potential community collaborations. Alternative intervention strategies may be needed to address health disparities among immigrant workers.

  19. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 2, March-April 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment…

  20. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 4, July-August 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment…

  1. 77 FR 2732 - Tribal Consultation; Notice of Meeting

    Science.gov (United States)

    2012-01-19

    ... on ACF programs and tribal priorities. DATES: March 5-6, 2012. ADDRESSES: Renaissance Hotel, 999 9th... United States has a unique legal and political relationship with Indian tribal governments, established...

  2. Improving safety on rural local and tribal roads safety toolkit.

    Science.gov (United States)

    2014-08-01

    Rural roadway safety is an important issue for communities throughout the country and presents a challenge for state, local, and Tribal agencies. The Improving Safety on Rural Local and Tribal Roads Safety Toolkit was created to help rural local ...

  3. Data Management-Supplement to Section 106 Tribal Guidance

    Science.gov (United States)

    The document supplements the Tribal 106 Guidance by providing useful suggestions and tips to tribes about how to establish a data management system that reflects tribal water quality goals and objectives.

  4. Investigating the connections between health lean management and clinical risk management.

    Science.gov (United States)

    Crema, Maria; Verbano, Chiara

    2015-01-01

    The purpose of this paper is to investigate connections and overlaps between health lean management (HLM) and clinical risk management (CRM) understanding whether and how these two approaches can be combined together to pursue efficiency and patient safety improvements simultaneously. A systematic literature review has been carried out. Searching in academic databases, papers that focus not only on HLM, but also on clinical errors and risk reduction, were included. The general characteristics of the selected papers were analysed and a content analysis was conducted. In most of the papers, pursing objectives of HLM and CRM and adopting tools and practices of both approaches, results of quality and, particularly, of safety improvements were obtained. A two-way arrow between HLM and CRM emerged but so far, none of the studies has been focused on the relationship between HLM and CRM. Results highlight an emerging research stream, with many useful theoretical and practical implications and opportunities for further research.

  5. Health System Competency for Maternal Health Services in Balasore District and Jaleswar Block, Balasore, Odisha, India: An Assessment.

    Science.gov (United States)

    Dehury, Ranjit Kumar; Samal, Janmejaya

    2016-08-01

    A competent health system is of paramount importance in delivering the desired health services in a particular community. The broad objective of this study was to assess the health system competency for the maternal health services in Balasore District and Jaleswar block of Balasore district, Odisha, India. A mixed method approach was adopted in order to understand the health system competency for maternal health services in the study area. There was poor accessibility through road, poor electricity connection and piped water for the health care centers in the district. Even, existing Primary Health Centres (PHCs) lack ECG and X-Ray machines for proper diagnostic services which jeopardize the catering of health services. Community Health Centres (CHC) lack basic diagnostic and ambulance services making the tribal pockets inaccessible. The tribal dominated Jaleswar block shows poor performance in terms of total registered Antenatal Checkups (ANC) (only 77%). A gradual decrease in the rate of ANC, from first to fourthcheckup, was observed in the district. Lack of public health infrastructure in general and non-compliance to Indian Public Health Standards (IPHS) in particular, affect the health of tribal women resulting in lack of interest in availing the institutional delivery services and other pertinent maternal health services.

  6. MEASUREMENT ISSUES IN HOME-VISITING RESEARCH WITHIN TRIBAL COMMUNITIES: CHALLENGES AND STRATEGIES.

    Science.gov (United States)

    Whitesell, Nancy Rumbaugh; Bolan, Marc; Chomos, Julianna C; Heath, Debra; Miles, Jon; Salvador, Melina; Whitmore, Corrie; Barlow, Allison

    2018-05-04

    In this article, Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grantees share strategies they have developed and adopted to address the most common barriers to effective measurement (and thus to effective evaluation) encountered in the course of implementation and evaluation of their home-visiting programs. We identify key challenges in measuring outcomes in Tribal MIECHV Programs and provide practical examples of various strategies used to address these challenges within diverse American Indian and Alaska Native cultural and contextual settings. Notably, high-quality community engagement is a consistent thread throughout these strategies and fundamental to successful measurement in these communities. These strategies and practices reflect the experiences and innovative solutions of practitioners working on the ground to deliver and evaluate intervention programs to tribal communities. They may serve as models for getting high-quality data to inform intervention while working within the constraints and requirements of program funding. The utility of these practical solutions extends beyond the Tribal MIECHV grantees and offers the potential to inform a broad array of intervention evaluation efforts in tribal and other community contexts. © 2018 Michigan Association for Infant Mental Health.

  7. Assessment of orthodontic treatment need among tribal children of Indore division, Central India

    Science.gov (United States)

    MURALIDHARAN, SHRIKANTH; GOWDA, SRINIVASA; AMBEKAR, RUTUJA; RATHORE, BHUPENDRA S.; CHABRA, SAKSHI; LALANI, AFSHEEN; HARANI, HARSH

    2018-01-01

    Introduction India is home to many tribes which have an interesting and varied history of origins, customs and social practices. Oral health care in tribal areas is limited due to shortage of dental manpower, financial constraints and the lack of perceived need for dental care among tribal masses. Objective To assess orthodontic treatment need among tribal children of Indore division, Central India. Methods A cross-sectional house to house survey was carried out among 800 tribal children aged 5 to 15 years old in two major tribal districts of Indore division. Permissions and consent were obtained from local administrative authorities, ethical committee and parents respectively. A structured proforma was used to record demographic data. Examination for dentofacial anomalies was conducted according to WHO 1997 survey methods. Descriptive tables and analytical tests like ANOVA, post-hoc and chi-square test were employed. Results The mean age was 9.75(±2.43) years. The mean DAI score among 12 to 15 years old children was 23.19±5.22. Female exhibited higher (24.51±5.34) mean DAI score compared to males (22.12±4.87) (pdental services. PMID:29440959

  8. Tribal Energy Program for California Indian Tribes

    Energy Technology Data Exchange (ETDEWEB)

    Singer, S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-02-10

    A strategic plan is needed to catalyze clean energy in the more than 100 California Indian tribal communities with varying needs and energy resources. We propose to conduct a scoping study to identify tribal lands with clean energy potential, as well as communities with lack of grid-tied energy and communications access. The research focus would evaluate the energy mixture and alternatives available to these tribal communities, and evaluate greenhouse gas emissions associated with accessing fossil fuel used for heat and power. Understanding the baseline of energy consumption and emissions of communities is needed to evaluate improvements and advances from technology. Based on this study, we will develop a strategic plan that assesses solutions to address high energy fuel costs due to lack of electricity access and inform actions to improve economic opportunities for tribes. This could include technical support for tribes to access clean energy technologies and supporting collaboration for on-site demonstrations.

  9. Understanding Malnutrition of Tribal Children in India: The Role of Women's Empowerment.

    Science.gov (United States)

    Debnath, Avijit; Bhattacharjee, Nairita

    2016-01-01

    Child malnutrition is considered to be the key risk factor for illness during adolescence and is responsible for about one-third of child deaths globally. Historically tribal communities have lagged behind the general population in terms of most socioeconomic aspects, and one such aspect is the nutritional status of children. The present study analyzes regional variations in child malnutrition and its association with women's empowerment in the tribal communities of India. The investigation is based on secondary data compiled from India's third National Family Health Survey (NFHS). Both bivariate and multivariate techniques were used to analyze data. We found a conditional inverse association between child malnutrition and women's empowerment in tribal communities. It is conditional in the sense that women's empowerment is effective when other factors supposed to influence nutritional status are proactive. Policy prescriptions are discussed.

  10. The ConNECT Framework: a model for advancing behavioral medicine science and practice to foster health equity.

    Science.gov (United States)

    Alcaraz, Kassandra I; Sly, Jamilia; Ashing, Kimlin; Fleisher, Linda; Gil-Rivas, Virginia; Ford, Sabrina; Yi, Jean C; Lu, Qian; Meade, Cathy D; Menon, Usha; Gwede, Clement K

    2017-02-01

    Health disparities persist despite ongoing efforts. Given the United States' rapidly changing demography and socio-cultural diversity, a paradigm shift in behavioral medicine is needed to advance research and interventions focused on health equity. This paper introduces the ConNECT Framework as a model to link the sciences of behavioral medicine and health equity with the goal of achieving equitable health and outcomes in the twenty-first century. We first evaluate the state of health equity efforts in behavioral medicine science and identify key opportunities to advance the field. We then discuss and present actionable recommendations related to ConNECT's five broad and synergistic principles: (1) Integrating Context; (2) Fostering a Norm of Inclusion; (3) Ensuring Equitable Diffusion of Innovations; (4) Harnessing Communication Technology; and (5) Prioritizing Specialized Training. The framework holds significant promise for furthering health equity and ushering in a new and refreshing era of behavioral medicine science and practice.

  11. 25 CFR 23.22 - Purpose of tribal government grants.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Purpose of tribal government grants. 23.22 Section 23.22... Grants to Indian Tribes for Title II Indian Child and Family Service Programs § 23.22 Purpose of tribal government grants. (a) Grants awarded under this subpart are for the establishment and operation of tribally...

  12. Ethnobotanical observations on the tribals of chinnar wildlife sanctuary.

    Science.gov (United States)

    Sajeev, K K; Sasidharan, N

    1997-04-01

    Studies on the flora and ethnobotany of the tribals of chinnar wildlife sanctuary were carried out. Though the sancturary has over 200 species of medicinal plants, the tribals are using 55 species, Ethnobotanical details of 64 species used by the tribals in the sanctuary are presented in this paper.

  13. Tea, talk and technology: patient and public involvement to improve connected health 'wearables' research in dementia.

    Science.gov (United States)

    Hassan, Lamiece; Swarbrick, Caroline; Sanders, Caroline; Parker, Angela; Machin, Matt; Tully, Mary P; Ainsworth, John

    2017-01-01

    There are a growing number of mobile phones, watches and electronic devices which can be worn on the body to track aspects of health and well-being, such as daily steps, sleep and exercise. Dementia researchers think that these devices could potentially be used as part of future research projects, for example to help spot changes in daily activity that may signal the early symptoms of dementia. We asked a range of older people, including people living with dementia and their carers, to participate in interactive discussions about how future participants might find using these devices as part of research projects. We also invited volunteers to borrow a range of devices to test at home, giving them further insights. Discussions revealed that people were generally supportive of this type of research, provided they gave informed consent and that devices were discreet, comfortable and easy to use. They also valued technical support and regular feedback on study progress to encourage ongoing participation. These findings were used to develop a pool of devices for researchers, with computer software and written guidance to help plan, design and support studies. Our work shows that when given the right opportunities, people who are affected by dementia can provide valuable insights that can enhance the design, delivery and quality of future research. Background Increasingly, researchers are recognising the potential for connected health devices, including smartphones and smartwatches, to generate high resolution data about patterns of daily activity and health outcomes. One aim of the Dementias Platform UK (DPUK) project is to provide researchers with a secure means to collect, collate and link data generated by such devices, thereby accelerating this type of research in the field of dementia. We aimed to involve members of the public in discussions about the acceptability and feasibility of different devices and research designs to inform the development of a device pool

  14. The Penobscot River and environmental contaminants: Assessment of tribal exposure through sustenance lifeways

    Science.gov (United States)

    Marshall, Valerie; Kusnierz, Daniel; Hillger, Robert; Ferrario, Joseph; Hughes, Thomas; Diliberto, Janet; Orazio, Carl E.; Dudley, Robert W.; Byrne, Christian; Sugatt, Richard; Warren, Sarah; DeMarini, David; Elskus, Adria; Stodola, Steve; Mierzykowski, Steve; Pugh, Katie; Culbertson, Charles W.

    2015-01-01

    EPA in collaboration with the Penobscot Indian Nation, U.S. Geological Survey (USGS), Agency for Toxic Substances and Disease Registry (ATSDR), and the U.S. Fish and Wildlife Service (USF&WS) collectively embarked on a four year research study to evaluate the environmental health of the riverine system by targeting specific cultural practices and using traditional science to conduct a preliminary contaminant screening of the flora and fauna of the Penobscot River ecosystem. This study was designed as a preliminary screening to determine if contaminant concentrations in fish, eel, snapping turtle, wood ducks, and plants in Regions of the Penobscot River relevant to where PIN tribal members hunt, fish and gather plants were high enough to be a health concern. This study was not designed to be a statistically validated assessment of contaminant differences among study sites or among species. The traditional methodology for health risk assessment used by the U. S. Environmental Protection Agency (EPA) is based on the use of exposure assumptions (e.g. exposure duration, food ingestion rate, body weight, etc.) that represent the entire American population, either as a central tendency exposure (e.g. average, median) or as a reasonable maximum exposure (e.g. 95% upper confidence limit). Unfortunately, EPA lacked exposure information for assessing health risks for New England regional tribes sustaining a tribal subsistence way of life. As a riverine tribe, the Penobscot culture and traditions are inextricably tied to the Penobscot River watershed. It is through hunting, fishing, trapping, gathering and making baskets, pottery, moccasins, birch-bark canoes and other traditional practices that the Penobscot culture and people are sustained. The Penobscot River receives a variety of pollutant discharges leaving the Penobscot Indian Nation (PIN) questioning the ecological health and water quality of the river and how this may affect the practices that sustain their way of life

  15. Working Together: Wellness and Academic Achievement at Tribal Colleges and Universities

    Science.gov (United States)

    Duran, Bonnie; Magarati, Maya; Parker, Myra; Egashira, Leo; Kipp, Billie Jo

    2013-01-01

    This article describes the activities of the Indigenous Wellness Research Institute (IWRI) at the University of Washington, Washington State, in collaborating with tribal colleges and universities (TCUs) to examine alcohol, drug, and mental health issues among Native students. The authors provide first steps for the development of culturally…

  16. 75 FR 78709 - Public Comment on the Draft Tribal Consultation Policy

    Science.gov (United States)

    2010-12-16

    ... future. ACF solicited membership for an ACF Tribal/Federal Workgroup to develop the initial draft policy... disparities of American Indians and Alaska Natives (AI/AN) and ensuring that access to critical health and... consult with American Indians and Alaska Natives (AI/ ANs). 3. Background Since the formation of the Union...

  17. 75 FR 8508 - Computerized Tribal IV-D Systems and Office Automation

    Science.gov (United States)

    2010-02-25

    ... operating comprehensive Tribal Child Support Enforcement programs under Title IV-D of the Social Security... security and privacy safeguarding requirements reflects our position that security and privacy of child... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families 45 CFR Parts 309...

  18. Assessment of orthodontic treatment need among tribal children of Indore division, Central India.

    Science.gov (United States)

    Muralidharan, Shrikanth; Chauhan, Astha; Gowda, Srinivasa; Ambekar, Rutuja; Rathore, Bhupendra S; Chabra, Sakshi; Lalani, Afsheen; Harani, Harsh

    2018-01-01

    India is home to many tribes which have an interesting and varied history of origins, customs and social practices. Oral health care in tribal areas is limited due to shortage of dental manpower, financial constraints and the lack of perceived need for dental care among tribal masses. To assess orthodontic treatment need among tribal children of Indore division, Central India. A cross-sectional house to house survey was carried out among 800 tribal children aged 5 to 15 years old in two major tribal districts of Indore division. Permissions and consent were obtained from local administrative authorities, ethical committee and parents respectively. A structured proforma was used to record demographic data. Examination for dentofacial anomalies was conducted according to WHO 1997 survey methods. Descriptive tables and analytical tests like ANOVA, post-hoc and chi-square test were employed. The mean age was 9.75(±2.43) years. The mean DAI score among 12 to 15 years old children was 23.19±5.22. Female exhibited higher (24.51±5.34) mean DAI score compared to males (22.12±4.87) (p<0.05). The Patelia tribes (24.38±5.13) reported higher mean DAI score than Bhilala (23.02±5.69) and Bhil tribe (22.73±4.79) (p<0.005). The tribal children had minor malocclusion with no or slight treatment need. Categorization of orthodontic treatment need according to malocclusion severity is particularly important for the planning of corresponding public policies. The isolation of the villages, lack of transportation options imposes limitations on the availability of health professionals to provide dental services.

  19. Connecting food environments and health through the relational nature of aesthetics: Gaining insight through the community gardening experience

    Science.gov (United States)

    Hale, James; Knapp, Corrine; Bardwell, Lisa; Buchenau, Michael; Marshall, Julie; Sancar, Fahriye; Litt, Jill S

    2011-01-01

    Current environmental and health challenges require us to identify ways to better align aesthetics, ecology, and health. At the local level, community gardens are increasingly praised for their therapeutic qualities. They also provide a lens through which we can explore relational processes that connect people, ecology and health. Using key-informant interview data, this research explores gardeners’ tactile, emotional, and value-driven responses to the gardening experience and how these responses influence health at various ecological levels (n=67 participants, 28 urban gardens). Our findings demonstrate that gardeners’ aesthetic experiences generate meaning that encourages further engagement with activities that may lead to positive health outcomes. Gardeners directly experience nearby nature by ‘getting their hands dirty’ and growing food. They enjoy the way vegetables taste and form emotional connections with the garden. The physical and social qualities of garden participation awaken the senses and stimulate a range of responses that influence interpersonal processes (learning, affirming, expressive experiences) and social relationships that are supportive of positive health-related behaviors and overall health. This research suggests that the relational nature of aesthetics, defined as the most fundamental connection between people and place, can help guide community designers and health planners when designing environment and policy approaches to improve health behaviors. PMID:21596466

  20. Connecting food environments and health through the relational nature of aesthetics: gaining insight through the community gardening experience.

    Science.gov (United States)

    Hale, James; Knapp, Corrine; Bardwell, Lisa; Buchenau, Michael; Marshall, Julie; Sancar, Fahriye; Litt, Jill S

    2011-06-01

    Current environmental and health challenges require us to identify ways to better align aesthetics, ecology, and health. At the local level, community gardens are increasingly praised for their therapeutic qualities. They also provide a lens through which we can explore relational processes that connect people, ecology and health. Using key-informant interview data, this research explores gardeners' tactile, emotional, and value-driven responses to the gardening experience and how these responses influence health at various ecological levels (n = 67 participants, 28 urban gardens). Our findings demonstrate that gardeners' aesthetic experiences generate meaning that encourages further engagement with activities that may lead to positive health outcomes. Gardeners directly experience nearby nature by 'getting their hands dirty' and growing food. They enjoy the way vegetables taste and form emotional connections with the garden. The physical and social qualities of garden participation awaken the senses and stimulate a range of responses that influence interpersonal processes (learning, affirming, expressive experiences) and social relationships that are supportive of positive health-related behaviors and overall health. This research suggests that the relational nature of aesthetics, defined as the most fundamental connection between people and place, can help guide community designers and health planners when designing environment and policy approaches to improve health behaviors. Copyright © 2011 Elsevier Ltd. All rights reserved.

  1. Mental Health and Military-Connected Students on Campus: Culture, Challenges, and Success

    Science.gov (United States)

    Bonar, Ted C.

    2016-01-01

    This chapter provides an overview of common challenges faced by military-connected students on university campuses. The characteristics, culture, and experiences of service members and veterans are described through vignettes based on military-connected students.

  2. Agenda Setting and Evidence in Maternal Health: Connecting Research and Policy in Timor-Leste.

    Science.gov (United States)

    Wild, Kayli; Kelly, Paul; Barclay, Lesley; Martins, Nelson

    2015-01-01

    The evidence-based policy (EBP) movement has received significant attention in the scientific literature; however, there is still very little empirical research to provide insight into how policy decisions are made and how evidence is used. The lack of research on this topic in low- and middle-income countries is of particular note. We examine the maternity waiting home policy in Timor-Leste to understand the role of context, policy characteristics, individual actors, and how evidence is used to influence the policy agenda. The research tracked the maternity waiting home policy from 2005 to 2009 and is based on in-depth interviews with 31 senior policy-makers, department managers, non-government organization representatives, and United Nations advisors. It is also informed by direct observation, attendance at meetings and workshops, and analysis of policy documents. The findings from this ethnographic case study demonstrate that although the post-conflict context opened up space for new policy ideas senior Ministry of Health officials rather than donors had the most power in setting the policy agenda. Maternity waiting homes were appealing because they were a visible, non-controversial, and logical solution to the problem of accessing maternal health services. Evidence was used in a variety of ways, from supporting pre-determined agendas to informing new policy directions. In the pursuit of EBP, we conclude that the power of research to inform policy lies in its timeliness and relevance, and is facilitated by the connection between researchers and policy-makers.

  3. Skin Health Connected to the Use of Absorbent Hygiene Products: A Review.

    Science.gov (United States)

    Bender, Johanna Karlsson; Faergemann, Jan; Sköld, Maria

    2017-09-01

    Over the past 50 years, absorbent hygiene products such as baby diapers and incontinence products have become essential features of modern day life. Through innovation and enhanced technology, their design, composition and performance have been dramatically upgraded from their early forms, and they have transformed the lives of millions of people, improving their quality of life. Skin health related to the use of absorbent hygiene products has accordingly also greatly improved. Still, the wearing of absorbent hygiene products will affect the skin, and for some users the changes in microclimate, mechanical interactions and the exposure to urine and faeces may result in irritant contact dermatitis, i.e. diaper dermatitis (DD) or incontinence-associated dermatitis (IAD). Babies with developing skin and the elderly with deteriorating skin functions who are the most frequent users of absorbent hygiene products are more vulnerable to the causal factors. Although irritant reactions are the most common, allergic contact dermatitis should be considered if a DD/IAD fails to improve by recommended actions. There is also a connection between IAD and pressure ulcer development of which it is important to be aware. A holistic approach of using high-quality absorbent hygiene products in combination with appropriate skin care will help maintaining good skin health.

  4. The use of evidence in maternal health: Connecting research and policy in Timor-Leste

    Directory of Open Access Journals (Sweden)

    Kayli Janine Wild

    2015-09-01

    Full Text Available The evidence-based policy (EBP movement has received significant attention in the scientific literature, however, there is still very little empirical research to provide insight into how policy decisions are made and how evidence is used. The lack of research on this topic in low and middle-income countries is of particular note. We examine the maternity waiting home policy in Timor-Leste to understand the role of context, policy characteristics, individual actors and how evidence is used to influence the policy agenda. The research tracked the maternity waiting home policy from 2005 to 2009 and is based on in-depth interviews with 31 senior policy-makers, department managers, non-government organisation (NGO representatives and United Nations (UN advisors. It is also informed by direct observation, attendance at meetings and workshops and analysis of policy documents. The findings from this case study demonstrate the importance of political context, policy characteristics and the power of senior Ministry of Health officials rather than donors in setting the policy agenda. Maternity waiting homes were appealing because they were a visible, non-controversial and logical solution to the problem of accessing maternal health services. Evidence was used in a variety of ways, from supporting pre-determined agendas to informing new policy directions. In the pursuit of EBP, we conclude that the power of research to inform policy lies in its timeliness and relevance, and is facilitated by the connection between researchers and policy-makers.

  5. Working with Indian Tribal Nations. A guide for DOE employees

    Energy Technology Data Exchange (ETDEWEB)

    None

    2000-12-31

    U.S. Department of Energy (DOE) employees and contractors frequently work with Indian tribes or nations as part of their jobs. The purpose of this guide is to help DOE employees and contractors initiate contact with tribes and build effective relationships. DOE maintains a unique government-to government relationship with tribal nations. This guide presents an overview of the history of the relationship between the tribes and the Federal government, as well as the laws and Executive Orders that define that relationship. The guide discusses the Federal government’s trust responsibility to the tribes, tribal treaty rights, and the Department of Energy’s American Indian policy. The guide also discusses important cultural differences that could lead to communication problems if not understood and provides examples of potential cultural misunderstandings. In particular the guide discusses tribal environmental beliefs that shape tribal responses to DOE actions. The guide also provides pointers on tribal etiquette during meetings and cultural ceremonies and when visiting tribal reservations. Appendix 1 gives examples of the tribal nations with whom DOE currently has Memoranda of Understanding. While this guide provides an introduction and overview of tribal relations for DOE staff and contractors, DOE has also designated Tribal Issues Points of Contacts at each of its facilities. A list of these Points of Contact for all DOE facilities is provided in Appendix 2. DOE staff and contractors should consult with the appropriate tribal representatives at their site before initiating contact with a tribal nation, because many tribes have rules and procedures that must be complied with before DOE staff or contractors may go on tribal lands or conduct interviews with tribal members. Appendix 3 is the complete DOE American Indian Policy. Appendices 4-6 are Executive Orders that govern the relationship of all federal agencies with tribal nations. DOE employees and staff are

  6. Building Tribal Communities in the Collaborative Economy

    DEFF Research Database (Denmark)

    Barnes, Stuart; Mattsson, Jan

    2016-01-01

    during 2014–15. The results suggest that these organisations face many common issues. We develop and apply a framework to understand some of these. We find that collaborative consumption entrepreneurs strive to build a tribal community by matching, in an innovative way, supply and demand...... traditional marketing approaches....

  7. TRIBAL REMEDIES FOR SNAKEBITE FROM ORISSA

    Science.gov (United States)

    Murthy, K S; Sharma, P C; Kishore, Prem

    1986-01-01

    This communication presents an account of usage of 13 species of plant in the treatment of Snakebite by the tribals of Orissa, Botanical name, family, local name and Sanskrit name, if available of the plants along with mode of administration and place collection of the claims are enumerated. PMID:22557560

  8. 77 FR 13338 - Tribal Consultation Meetings

    Science.gov (United States)

    2012-03-06

    ..., Public Law 110-134, notice is hereby given of one-day Tribal Consultation Sessions to be held between the... American Indian and Alaska Native children and their families, taking into consideration funding... consideration funding allocations, distribution formulas, and other issues affecting the delivery of Head Start...

  9. 78 FR 11891 - Tribal Consultation Meeting

    Science.gov (United States)

    2013-02-20

    ... Law 110-134, notice is hereby given of two 1-day Tribal Consultation Sessions to be held between the... American Indian and Alaska Native children and their families, taking into consideration funding... families, taking into consideration funding allocations, distribution formulas, and other issues affecting...

  10. 77 FR 5027 - Tribal Consultation Meetings

    Science.gov (United States)

    2012-02-01

    ..., Public Law 110-134, notice is hereby given of a one-day Tribal Consultation Session to be held between... American Indian and Alaska Native children and their families, taking into consideration funding... the needs of American Indian and Alaska Native children and families, taking into consideration...

  11. 76 FR 48865 - Tribal Consultation Meetings

    Science.gov (United States)

    2011-08-09

    ..., Public Law 110-134, notice is hereby given of one-day Tribal Consultation Sessions to be held between the... American Indian and Alaska Native children and their families, taking into consideration funding... meeting the needs of American Indian and Alaska Native children and families, taking into consideration...

  12. 77 FR 19020 - Tribal Consultation Meeting

    Science.gov (United States)

    2012-03-29

    ... Law 110-134, notice is hereby given of a one-day Tribal Consultation Session to be held between the... needs of American Indian and Alaska Native children and their families, taking into consideration... children and families, taking into consideration funding allocations, distribution formulas, and other...

  13. 77 FR 4471 - Tribal Veterans Cemetery Grants

    Science.gov (United States)

    2012-01-30

    ... means to promote consistency and communication in the grant application process. Further, the final rule... Regulatory Review) emphasizes the importance of quantifying both costs and benefits, reducing costs... standards of appearance that is or will be owned by the State, or operated by a Tribal Organization on trust...

  14. "Bringing the outside world in": Enriching social connection through health student placements in a teaching aged care facility.

    Science.gov (United States)

    Annear, Michael J; Elliott, Kate-Ellen J; Tierney, Laura T; Lea, Emma J; Robinson, Andrew

    2017-10-01

    Older adults living in residential aged care facilities (RACFs) often experience limited opportunities for social connection despite close proximity to peers, which has implications for mental health and quality of life (QoL). The introduction of large-scale undergraduate health student placements in RACFs may enhance opportunities for meaningful engagement through social connection, although this remains unexplored. This research explores whether interpersonal encounters between health students and RACF residents influence residents' opportunities for social connection and QoL. A mixed methods design was employed which included questionnaire data from residents, and qualitative interview data from residents, family members and RACF staff. Data were collected during and after student placements to allow for an in-depth exploration of residents, family members and staff perspectives. Forty-three participants (28 residents, 10 staff and five family members) were recruited during 2014. Overall, many residents had clinical levels of depression, mild cognitive impairment and multiple morbidities, however reported moderate-to-good QoL. Thematic analysis was undertaken on interview transcripts, and three themes emerged: (i) social isolation and loneliness fostered by residents' age-related conditions, (ii) students expand socially supportive connections beyond the RACF and (iii) meaning making by sharing health experiences, which was found to help renegotiate older adults' pervasive narrative of vulnerability. Supported and structured health student placements in RACFs enable older adults to participate in meaningful encounters with younger people. These encounters focus on sharing health experiences and address long-standing issues of isolation and loneliness by providing opportunities for social connection. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

  15. Cosmetic ethnobotany practiced by tribal women of Kashmir Himalayas

    Directory of Open Access Journals (Sweden)

    Hamayun Shaheen

    2014-06-01

    Full Text Available Objective: Himalayan mountain populations have been dependent upon indigenous plant resources for their health care for many years. Tribal women are interested in use of local herbs for cosmetic purposes. The present work is based on the results of research conducted on cosmetic uses of some important plants by the tribal women in District Poonch, Azad Kashmir Pakistan. Materials and Methods: An ethno botanical survey was carried out during summer 2012. The data were collected from 310 female informants from 16 villages using questionnaire method and semi structured interviews. Results: A total of 39 plants species belonging to 20 families, being used for various cosmetic purposes were recorded. Indigenous species are traditionally used by the locals for problems including acne (16%, hair growth (11%, bad breath (12%, facial spots (9%, allergy, (9%, fairness (8%, wrinkles (8%, eye and lip care (9%. Seventy different recipes were recorded to be practiced by locals using herbal parts. The major plant parts utilized in herbal recipes included fruit (32.8%, Leaves (25.2%, seeds (13.4% and roots (8.9%. Women of older (>30 years age group showed greater (67% response regarding knowledge and practice of cosmetic herbs. Conclusion: This study was the 1st ever project focusing on cosmetic perspectives of ethno-botany in the area. Our study contributes to an improved understanding of ignored aspect of cosmetic ethnobotany among the local women. Further detailed investigations are recommended to record and preserve precious ethno-botanical knowledge of the area.

  16. Cosmetic ethnobotany practiced by tribal women of Kashmir Himalayas

    Science.gov (United States)

    Shaheen, Hamayun; Nazir, Jaweria; Firdous, Syeda Sadiqa; Khalid, Abd-Ur-Rehman

    2014-01-01

    Objective: Himalayan mountain populations have been dependent upon indigenous plant resources for their health care for many years. Tribal women are interested in use of local herbs for cosmetic purposes. The present work is based on the results of research conducted on cosmetic uses of some important plants by the tribal women in District Poonch, Azad Kashmir Pakistan. Materials and Methods: An ethno botanical survey was carried out during summer 2012. The data were collected from 310 female informants from 16 villages using questionnaire method and semi structured interviews. Results: A total of 39 plants species belonging to 20 families, being used for various cosmetic purposes were recorded. Indigenous species are traditionally used by the locals for problems including acne (16%), hair growth (11%), bad breath (12%), facial spots (9%), allergy, (9%), fairness (8%), wrinkles (8%), eye and lip care (9%). Seventy different recipes were recorded to be practiced by locals using herbal parts. The major plant parts utilized in herbal recipes included fruit (32.8%), Leaves (25.2%), seeds (13.4%) and roots (8.9%). Women of older (>30 years) age group showed greater (67%) response regarding knowledge and practice of cosmetic herbs. Conclusion: This study was the 1st ever project focusing on cosmetic perspectives of ethno-botany in the area. Our study contributes to an improved understanding of ignored aspect of cosmetic ethnobotany among the local women. Further detailed investigations are recommended to record and preserve precious ethno-botanical knowledge of the area. PMID:25068138

  17. Connecting health and natural history: a failed initiative at the American Museum of Natural History, 1909-1922.

    Science.gov (United States)

    Brown, Julie K

    2014-10-01

    In 1909, curator Charles-Edward Winslow established a department of public health in New York City's American Museum of Natural History (AMNH). Winslow introduced public health as a biological science that connected human health-the modern sciences of physiology, hygiene, and urban sanitation-to the natural history of plants and animals. This was the only time an American museum created a curatorial department devoted to public health. The AMNH's Department of Public Health comprised a unique collection of live bacterial cultures-a "Living Museum"-and an innovative plan for 15 exhibits on various aspects of health. I show how Winslow, facing opposition from AMNH colleagues, gathered scientific experts and financial support, and explain the factors that made these developments seem desirable and possible. I finish with a discussion of how the Department of Public Health met an abrupt and "inglorious end" in 1922 despite the success of its collections and exhibitions.

  18. 25 CFR 170.932 - Are there other funding sources for tribal transportation departments?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Are there other funding sources for tribal transportation....932 Are there other funding sources for tribal transportation departments? There are many sources of... additional funding sources: (a) Tribal general funds; (b) Tribal Priority Allocation; (c) Tribal permits and...

  19. Tribal and stakeholder involvement in systems analysis

    International Nuclear Information System (INIS)

    McClure, L.; Swartz, G.; Cooley, C.

    1997-01-01

    Beginning in early 1995, U.S. Department of Energy began an experiment to link tribal and stakeholder representatives into technology assessment activities related to an Integrated Nonthermal Treatment System (INTS) study. The INTS study moved outside the framework of after-the-fact public involvement by providing the opportunity for technical and non-technical stakeholders alike to work together in the early predecision stages of the criteria development and assessment of options for innovative mixed waste treatment. The stakeholders gained an appreciation of the intense level of effort required to complete such an analysis. The engineers and scientists conducting the systems analyses had the opportunity (some for the first time) to learn more about tribal and stakeholder issues and how they might apply to the technical tasks related to technology assessment and selection

  20. Global City, tribal Citizenship: Dubai's paradox

    OpenAIRE

    Lavergne, Marc

    2007-01-01

    This paper deals with the contrast between the beduin tribal origins of the rulers of this wealthy and dynamic Emirate and the globalized economy and society which makes for the majority of its dwellers. It raises the question of the sustainability of the model, faced with the tendency of the foreign population to settle there on the long run, and the need to involve this population, or at least the middle and upper middle class in the project for Dubaï.

  1. Health Monitoring of Bolted Spherical Joint Connection Based on Active Sensing Technique Using Piezoceramic Transducers

    Directory of Open Access Journals (Sweden)

    Jing Xu

    2018-05-01

    Full Text Available Bolted spherical joints are widely used to form space steel structures. The stiffness and load capacity of the structures are affected by the looseness of bolted spherical joint connections in the structures. The looseness of the connections, which can be caused by fabrication error, low modeling accuracy, and “false twist” in the installation process, may negatively impact the load capacity of the structure and even lead to severe accidents. Furthermore, it is difficult to detect bolted spherical joint connection looseness from the outside since the bolts connect spheres with rods together from the inside. Active sensing methods are proposed in this paper to monitor the tightness status of the bolted spherical connection using piezoceramic transducers. A triangle-on-triangle offset grid composed of bolted spherical joints and steel tube bars was fabricated as the specimen and was used to validate the active sensing methods. Lead Zirconate Titanate (PZT patches were used as sensors and actuators to monitor the bolted spherical joint tightness status. One PZT patch mounted on the central bolted sphere at the upper chord was used as an actuator to generate a stress wave. Another PZT patch mounted on the bar was used as a sensor to detect the propagated waves through the bolted spherical connection. The looseness of the connection can impact the energy of the stress wave propagated through the connection. The wavelet packet analysis and time reversal (TR method were used to quantify the energy of the transmitted signal between the PZT patches by which the tightness status of the connection can be detected. In order to verify the effectiveness, repeatability, and consistency of the proposed methods, the experiments were repeated six times in different bolted spherical connection positions. The experimental results showed that the wavelet packet analysis and TR method are effective in detecting the tightness status of the connections. The

  2. 25 CFR 900.41 - How long must an Indian tribe or tribal organization keep management system records?

    Science.gov (United States)

    2010-04-01

    ..., AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF... Indian tribe or tribal organization must retain financial, procurement and property records for the..., purchase orders, contracts, payment histories and records applicable of significant decisions. These...

  3. Mumps outbreak in a tribal population from the Union Territory of Dadra and Nagar Haveli, India.

    Science.gov (United States)

    Tilavat, Siddharth M; Vaidya, Sunil R; Hamde, Venkat S

    2017-12-01

    A cluster of parotitis cases (n = 13) were observed in a tribal population of Vansda village from the Union Territory of Dadra and Nagar Haveli, India between 20th and 22nd week of 2016. Primary information was received by the local Infectious Disease Surveillance Program team, and subsequently field investigations were carried out in the affected area. Active surveillance was conducted till twice the incubation period from onset of the last surveyed case. For the laboratory investigations, 19 serum samples were collected from 11-suspected cases and their close contacts (n = 8). All samples were transported within 12 h on icepacks to the main laboratory at Pune. Majority of the suspected mumps cases were children except four adults. Mumps infection was confirmed in 8 of 11 suspected cases with post-onset ranging from 28 to 43 days and none from the close contacts. Both mumps specific IgM and IgG antibodies were detected in nine cases (including one equivocal) and single contact (equivocal result). Overall, ten cases and eight contacts (including one equivocal) showed mumps specific IgG antibodies. Present investigation provides information about the characteristics of mumps outbreak in a tribal community that resides in the remote areas. In addition, introduction of mumps containing vaccine in the tribal population may have added advantages in the tribal health program. © 2017 Wiley Periodicals, Inc.

  4. Using ESRI Story Maps for Engaging Tribal Youth in Localized Climate Education

    Science.gov (United States)

    Masters, E. L.; Marsik, F. J.; Sonderegger, C.

    2017-12-01

    A critical step in any climate adaptation initiative is the engagement of the community through educational outreach about the impacts of climate change on vulnerable economic, infrastructure and natural resources within the community. For Tribal communities, such outreach must also highlight connections between these vulnerable assets, such as natural resources, and Tribal cultural practices. For adult members of these communities, the combination of traditional ecological knowledge and western science approaches can prove effective in this regard. For Tribal youth, the often complex and data-heavy nature of western science approaches may prove to be more of an obstacle than an aid in communicating the impacts of our changing climate on their local Tribal community. A collaborative educational effort between the Grand Traverse Band of Ottawa and Chippewa Indians (Peshawbestown, MI) and the University of Michigan seeks to lean upon the rich tradition of storytelling as a method of conveying information to younger generations. The ESRI Story Maps platform provides such a tool through its combined use of narratives, images, maps, and data. The ability to make a Story Map deep and complex, or simple and fun, makes this application ideal for communicating with a range of people, from school-age children to adults. For our project, we created two Story Maps with different complexity levels, with one for elementary to middle school students, and the other targeted at high school students. The project for younger children was aimed at engaging viewers through a series of images and maps, introducing them to the basics of what wetlands are, which types of wetlands can be found locally, Indigenous cultural connections to wetlands, and how to protect wetlands. The more complex project provided a more expansive discussion of these same topics, including threats to these wetlands from human activities, including climate change, as well as an extensive list of references and a

  5. TIGER/Line Shapefile, 2014, Series Information File for the Current Tribal Block Group National Shapefile

    Data.gov (United States)

    US Census Bureau, Department of Commerce — A tribal block group is a cluster of census tabulation blocks within a single tribal census tract delineated by American Indian tribal participants or the Census...

  6. Beneficial Effects of Two Types of Personal Health Record Services Connected With Electronic Medical Records Within the Hospital Setting.

    Science.gov (United States)

    Lee, Jisan; Kim, James G Boram; Jin, Meiling; Ahn, Kiwhan; Kim, Byungjun; Kim, Sukwha; Kim, Jeongeun

    2017-11-01

    Healthcare consumers must be able to make decisions based on accurate health information. To assist with this, we designed and developed an integrated system connected with electronic medical records in hospitals to ensure delivery of accurate health information. The system-called the Consumer-centered Open Personal Health Record platform-is composed of two services: a portal for users with any disease and a mobile application for users with cleft lip/palate. To assess the benefits of these services, we used a quasi-experimental, pretest-posttest design, assigning participants to the portal (n = 50) and application (n = 52) groups. Both groups showed significantly increased knowledge, both objective (actual knowledge of health information) and subjective (perceived knowledge of health information), after the intervention. Furthermore, while both groups showed higher information needs satisfaction after the intervention, the application group was significantly more satisfied. Knowledge changes were more affected by participant characteristics in the application group. Our results may be due to the application's provision of specific disease information and a personalized treatment plan based on the participant and other users' data. We recommend that services connected with electronic medical records target specific diseases to provide personalized health management to patients in a hospital setting.

  7. Deficiency and sources of nutrition among an Indian tribal population.

    Science.gov (United States)

    Ghosh, Sudipta

    2014-09-01

    This paper is an attempt to explore the relationship between protein consumption and BMI for the adult Santhals, a tribal community of West Bengal, India. For this purpose, a cross sectional sample of 1262 adult Santhals were mea- sured. A high incidence (46.9%) of chronic energy deficiency (CED) is observed. A low production of protein rich food items such as pulses, poultry and fishing within their own economy reveal that the barter system fails to provide enough protein rich food items for the community. Along with this, low income earning opportunities lead to a low consumption of protein rich food and hence a high incidence of undernutrition. The occupational pattern reveals that the Santhals who derive livelihood by the means of hard physical activities are more prone to develop CED. The study suggests that the overdependence on forests and their own economy for consumption needs may not be helping this community in attaining a better health status.

  8. Connection and Community: Diné College Emphasizes Real-World Experience in Public Health

    Science.gov (United States)

    Bauer, Mark

    2016-01-01

    The Summer Research Enhancement Program (SREP) at Diné College provides students with a solid foundation of public health research methods and includes a hands-on internship in their home community to test their newly acquired skills while enhancing the communities' health. Focusing on health issues prioritized by Navajo health leaders, from…

  9. Tobacco usage among tribal population of Nilgiris, Tamil Nadu - a cross sectional study

    Directory of Open Access Journals (Sweden)

    Vikneshan Murugaboopathy

    2018-03-01

    Full Text Available Background Tobacco use is attributed for deaths of 3.5 to 4 million people globally, which is expected to increase to about 10 million during 2020 and around more than two-third will be occurring in developing countries as they are showing an increasing trends of tobacco use. Anti-tobacco messages or campaigns do not reach the Tribal regions. Tobacco use is ingrained in many of the cultural practices of tribal people. This study aimed to assess the prevalence of tobacco usage among tribal populations of Nilgiris region, Tamil Nadu. Methods A cross sectional study was conducted among 4 villages of Conoor and Kothagiri districts of nilgiris region. A total of 363 people were screened and their tobacco usage status was assessed using Interview method. A trained interviewer along with help of community leader collected information about the usage of tobacco among the populations. Oral health status and presence of oral mucosal lesions were also recorded. Results Smokeless tobacco usage was high among the subjects. Majority of the males between 21-40 years were having both smoking and smokeless tobacco. Bidis was the most common form of smoking tobacco and gutka was the commonest smokeless tobacco used. More than 32% females in the age group of 30-45 years were tobacco users. Conclusions Tobacco usage was high among the tribal populations. Interestingly, the number of tobacco users among females was more prevalent. Customized tobacco cessation education programs has to be carried out for effective control of tobacco usage among the tribal population of Nilgiris region.

  10. Challenges in managing telemedicine centers in remote tribal hilly areas of Uttarakhand

    Directory of Open Access Journals (Sweden)

    S Suresh

    2013-12-01

    Full Text Available Background: Healthcare Information Technology advances in the Information, Communication and Telecommunication (ICT sector have made telemedicine a common and alternate medical service delivery in remote areas. Indian Space and Research Organization (ISRO established village resource centers managed by Non-government Organizations (NGO’s all over the country in 2010. While ISRO provided satellite connectivity and required equipment for communication, tele-education, and telemedicine in Uttarakhand, Himalayan Institute Hospital Trust provided primary health care through tele-consultation to remote tribal hilly areas through village resource centers. This paper features the technical and financial challenges faced in providing tele-consultation. Methods: A cross-sectional study of 115 clients, 4 health supervisors and co-ordinating doctor from three districts was done using semi-structured questionnaires for interview. Parameters at both doctor’s and patients’ end for communication, costs involved, quality of doctor-patient interaction and patient satisfaction from Tele-consultation sessions were assessed. Results: Video quality was more satisfactory than audio. The physical presence of a doctor was felt necessary only in 33/115 (30% of the time. The average cost for telemedicine consultation works out to just Rs. 15 per patient. Around 48.7% of the queries were processed in less than 10 minutes of satellite time. Around 67% of the beneficiaries felt that their privacy was not maintained as per their expectations.  The request to extend the timing of the session was made by 85% of the clients. Conclusions: Long periods of non- connectivity due to satellite failure, lack of technical staff, lack of patient’s privacy during sessions, lack of income generation for self-sustainability, were the major challenges faced. However many patients benefitted, did not have to travel long distances for medical advice and easy follow ups were

  11. Tribal Energy Efficiency and Renewable Energy Development on Tribal Lands (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2010-09-01

    This 12-page brochure provides an overview of the U.S. Department of Energy's (DOE's) Tribal Energy Program and describes the financial, technical, and educational assistance it provides to help tribes develop their renewable energy resources and reduce their energy consumption.

  12. Tribal experiences and lessons learned in riparian ecosystem restoration

    Science.gov (United States)

    Ronald K. Miller; James E. Enote; Cameron L. Martinez

    1996-01-01

    Riparian ecosystems have been part of the culture of land use of native peoples in the Southwest United States for thousands of years. The experiences of tribal riparian initiatives to incorporate modern elements of environment and development with cultural needs are relatively few. This paper describes tribal case examples and approaches in riparian management which...

  13. 76 FR 18457 - Regulatory Review Schedule; Tribal Consultation

    Science.gov (United States)

    2011-04-04

    ... that the NIGC provide tribal gaming commissions access to licensing information via an online database... DEPARTMENT OF THE INTERIOR National Indian Gaming Commission 25 CFR Chapter III Regulatory Review Schedule; Tribal Consultation AGENCY: National Indian Gaming Commission. ACTION: Notice of Regulatory...

  14. Collaborations for Building Tribal Resiliency to Climate Change

    Science.gov (United States)

    Bamzai, A.; Taylor, A.; Winton, K.

    2015-12-01

    Sixty-eight tribes are located in the U.S. Department of the Interior's South Central Climate Science Center (SCCSC) region. The SCCSC made it a priority to include the tribes as partners from its inception and both the Chickasaw Nation and the Choctaw Nation of Oklahoma participate in the center's activities as consortium members. Under this arrangement, the SCCSC employs a full-time tribal liaison to facilitate relations with the tribes, develop partnerships for climate-relevant projects, build tribal stakeholder capacity, and organize tribal youth programs. In 2014, the SCCSC published its Tribal Engagement Strategy (USGS Circular 1396) to outline its approach for developing tribal relationships. The conceptual plan covers each step in the multi-year process from initial introductory meetings and outreach to demonstrate commitment and interest in working with tribal staff, building tribal capacity in climate related areas while also building researcher capacity in ethical research, and facilitating the co-production of climate-relevant research projects. As the tribes begin to develop their internal capacity and find novel ways to integrate their interests, the plan ultimately leads to tribes developing their own independent research projects and integrating climate science into their various vulnerability assessments and adaptation plans. This presentation will outline the multiple steps in the SCCSC's Tribal Engagement Strategy and provide examples of our ongoing work in support of each step.

  15. Geospatial Analysis of Renewable Energy Technical Potential on Tribal Lands

    Energy Technology Data Exchange (ETDEWEB)

    Doris, E.; Lopez, A.; Beckley, D.

    2013-02-01

    This technical report uses an established geospatial methodology to estimate the technical potential for renewable energy on tribal lands for the purpose of allowing Tribes to prioritize the development of renewable energy resources either for community scale on-tribal land use or for revenue generating electricity sales.

  16. 75 FR 65611 - Native American Tribal Insignia Database

    Science.gov (United States)

    2010-10-26

    ... DEPARTMENT OF COMMERCE Patent and Trademark Office Native American Tribal Insignia Database ACTION... comprehensive database containing the official insignia of all federally- and State- recognized Native American... to create this database. The USPTO database of official tribal insignias assists trademark attorneys...

  17. Tribal lands provide forest management laboratory for mainstream university students

    Science.gov (United States)

    Serra J. Hoagland; Ronald Miller; Kristen M. Waring; Orlando Carroll

    2017-01-01

    Northern Arizona University (NAU) faculty and Bureau of Indian Affairs (BIA) foresters initiated a partnership to expose NAU School of Forestry (SoF) graduate students to tribal forest management practices by incorporating field trips to the 1.68-million acre Fort Apache Indian Reservation as part of their silviculture curriculum. Tribal field trips were contrasted and...

  18. 25 CFR 23.21 - Noncompetitive tribal government grants.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Noncompetitive tribal government grants. 23.21 Section 23... ACT Grants to Indian Tribes for Title II Indian Child and Family Service Programs § 23.21 Noncompetitive tribal government grants. (a) Grant application information and technical assistance. Information...

  19. Training Tribal Lay Advocates at Sitting Bull College

    Science.gov (United States)

    Shelley, W. L.

    2015-01-01

    Students in Sitting Bull College's lay advocate program develop a well-rounded understanding of the law, enabling them to represent defendants in tribal courts. The program offers legal training for its students--and illustrates how American Indian nations can broaden legal representation for Native defendants in tribal courts. It is one of only…

  20. Consume : A privacy-preserving authorisation and authentication service for connecting with health and wellbeing APIs

    NARCIS (Netherlands)

    Wetzels, M.; Ayoola, I.; Bogers, S.; Peters, P.; Chen, W.; Feijs, L.

    2018-01-01

    The growth of the Internet of Things (IoT) application within the health- and wellbeing domain enables individuals to monitor their health. Acquired data can be used privately, contribute to clinical databases, or for research. The amount of health and wellbeing tracking devices introduces

  1. Enhancing Ear and Hearing Health Access for Children With Technology and Connectivity.

    Science.gov (United States)

    Swanepoel, De Wet

    2017-10-12

    Technology and connectivity advances are demonstrating increasing potential to improve access of service delivery to persons with hearing loss. This article demonstrates use cases from community-based hearing screening and automated diagnosis of ear disease. This brief report reviews recent evidence for school- and home-based hearing testing in underserved communities using smartphone technologies paired with calibrated headphones. Another area of potential impact facilitated by technology and connectivity is the use of feature extraction algorithms to facilitate automated diagnosis of most common ear conditions from video-otoscopic images. Smartphone hearing screening using calibrated headphones demonstrated equivalent sensitivity and specificity for school-based hearing screening. Automating test sequences with a forced-choice response paradigm allowed persons with minimal training to offer screening in underserved communities. The automated image analysis and diagnosis system for ear disease demonstrated an overall accuracy of 80.6%, which is up to par and exceeds accuracy rates previously reported for general practitioners and pediatricians. The emergence of these tools that capitalize on technology and connectivity advances enables affordable and accessible models of service delivery for community-based ear and hearing care.

  2. C3-PRO: Connecting ResearchKit to the Health System Using i2b2 and FHIR.

    Directory of Open Access Journals (Sweden)

    Pascal B Pfiffner

    Full Text Available A renewed interest by consumer information technology giants in the healthcare domain is focused on transforming smartphones into personal health data storage devices. With the introduction of the open source ResearchKit, Apple provides a framework for researchers to inform and consent research subjects, and to readily collect personal health data and patient reported outcomes (PRO from distributed populations. However, being research backend agnostic, ResearchKit does not provide data transmission facilities, leaving research apps disconnected from the health system. Personal health data and PROs are of the most value when presented in context along with health system data. Our aim was to build a toolchain that allows easy and secure integration of personal health and PRO data into an open source platform widely adopted across 140 academic medical centers. We present C3-PRO: the Consent, Contact, and Community framework for Patient Reported Outcomes. This open source toolchain connects, in a standards-compliant fashion, any ResearchKit app to the widely-used clinical research infrastructure Informatics for Integrating Biology and the Bedside (i2b2. C3-PRO leverages the emerging health data standard Fast Healthcare Interoperability Resources (FHIR.

  3. C3-PRO: Connecting ResearchKit to the Health System Using i2b2 and FHIR.

    Science.gov (United States)

    Pfiffner, Pascal B; Pinyol, Isaac; Natter, Marc D; Mandl, Kenneth D

    2016-01-01

    A renewed interest by consumer information technology giants in the healthcare domain is focused on transforming smartphones into personal health data storage devices. With the introduction of the open source ResearchKit, Apple provides a framework for researchers to inform and consent research subjects, and to readily collect personal health data and patient reported outcomes (PRO) from distributed populations. However, being research backend agnostic, ResearchKit does not provide data transmission facilities, leaving research apps disconnected from the health system. Personal health data and PROs are of the most value when presented in context along with health system data. Our aim was to build a toolchain that allows easy and secure integration of personal health and PRO data into an open source platform widely adopted across 140 academic medical centers. We present C3-PRO: the Consent, Contact, and Community framework for Patient Reported Outcomes. This open source toolchain connects, in a standards-compliant fashion, any ResearchKit app to the widely-used clinical research infrastructure Informatics for Integrating Biology and the Bedside (i2b2). C3-PRO leverages the emerging health data standard Fast Healthcare Interoperability Resources (FHIR).

  4. A comparative study on self-esteem among tribal and non-tribal students in Udupi Taluk, Karnataka, India

    Directory of Open Access Journals (Sweden)

    Uday Narayan Yadav

    2013-01-01

    Full Text Available Self esteem is defined as the positive or negative attitude about self, the degree of liking or satisfaction within self, and owns feeling of perceived worth as compared with others. Healthy self-esteem is important to be successful and happy throughout one’s life. The aim of this study was to compare the self esteem among tribal and non-tribal student in Udupi Taluk. A descriptive cross sectional study was conducted in November 2012 in government school of Brahmavar, Udupi Taluk. Study participants were students of class eight, nine and ten. One school was randomly selected from the list of government schools in Brahmavar. The size of the sample was 76 which includes 38 from tribal category and 38 from general category and the sampling design was purposive sampling. Rosenberg’s scale was used to assess the self esteem of students. Questionnaires were self administered. Permission was taken from the principle of school. Data was entered and analyzed using SPSS version 15. Results are reported as frequency and proportion. Independent t test was used to compare the self esteem of tribal and non tribal student. Study found that more than two third of the tribal student had low self esteem. There was statistically significant difference (p<0.001 in self esteem between tribal and non tribal students.

  5. A comparative study on self-esteem among tribal and non-tribal students in Udupi Taluk, Karnataka, India

    Directory of Open Access Journals (Sweden)

    Uday Narayan Yadav

    2013-08-01

    Full Text Available Self esteem is defined as the positive or negative attitude about self, the degree of liking or satisfaction within self, and owns feeling of perceived worth as compared with others. Healthy self-esteem is important to be successful and happy throughout one’s life. The aim of this study was to compare the self esteem among tribal and non-tribal student in Udupi Taluk. A descriptive cross sectional study was conducted in November 2012 in government school of Brahmavar, Udupi Taluk. Study participants were students of class eight, nine and ten. One school was randomly selected from the list of government schools in Brahmavar. The size of the sample was 76 which includes 38 from tribal category and 38 from general category and the sampling design was purposive sampling. Rosenberg’s scale was used to assess the self esteem of students. Questionnaires were self administered. Permission was taken from the principle of school. Data was entered and analyzed using SPSS version 15. Results are reported as frequency and proportion. Independent t test was used to compare the self esteem of tribal and non tribal student. Study found that more than two third of the tribal student had low self esteem. There was statistically significant difference (p<0.001 in self esteem between tribal and non tribal students.

  6. Connecting a sociology of childhood perspective with the study of child health, illness and wellbeing: introduction.

    Science.gov (United States)

    Brady, Geraldine; Lowe, Pam; Olin Lauritzen, Sonja

    2015-02-01

    In the last decades we have seen a growing interest in research into children's own experiences and understandings of health and illness. This development, we would argue, is much stimulated by the sociology of childhood which has drawn our attention to how children as a social group are placed and perceived within the structure of society, and within inter-generational relations, as well as how children are social agents and co-constructors of their social world. Drawing on this tradition, we here address some cross-cutting themes that we think are important to further the study of child health: situating children within health policy, drawing attention to practices around children's health and well-being and a focus on children as health actors. The paper contributes to a critical analysis of child health policy and notions of child health and normality, pointing to theoretical and empirical research potential for the sociology of children's health and illness. © 2015 The Authors. Sociology of Health & Illness © 2015 Foundation for the Sociology of Health & Illness/John Wiley & Sons Ltd.

  7. 42 CFR 137.293 - Are Self-Governance Tribes required to adopt a separate resolution or take equivalent Tribal...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Are Self-Governance Tribes required to adopt a...-GOVERNANCE Construction Nepa Process § 137.293 Are Self-Governance Tribes required to adopt a separate... project agreement? No, the Self-Governance Tribe may adopt a single resolution or take equivalent Tribal...

  8. [Connections between fiscal federalism and the funding of the Brazilian health care policy].

    Science.gov (United States)

    de Lima, Luciana Dias

    2007-01-01

    In the Brazilian society's context of meager financial resources for health care, associated with structural features of fiscal federalism and with the current model of funding transfers for the Unified Health System's (SUS), important inequities directly impact political negotiations and the deployment of federal financing alternatives which are not directly linked to the supply and production of health care activities and services by states and municipalities. We observed that health policies, since the second half of the nineties, have developed their own mechanisms that, in the above mentioned context, tend to accommodate different interests and federative conflicts generated by structural factors and by institutional rules. However, the absence of an integrated planning program between the criteria to establish resource redistribution for financing the Unified Health System and the Brazilian Federation's fiscal sharing system, end up reinforcing certain asymmetric patterns and generating new imbalances, making the compensation of inequities difficult in public health spending at the sub-national domain.

  9. The Health Advantage of a Vegan Diet: Exploring the Gut Microbiota Connection

    OpenAIRE

    Glick-Bauer, Marian; Yeh, Ming-Chin

    2014-01-01

    This review examines whether there is evidence that a strict vegan diet confers health advantages beyond that of a vegetarian diet or overall healthy eating. Few studies include vegan subjects as a distinct experimental group, yet when vegan diets are directly compared to vegetarian and omnivorous diets, a pattern of protective health benefits emerges. The relatively recent inclusion of vegan diets in studies of gut microbiota and health allows us the opportunity to assess whether the vegan g...

  10. The connection between art, healing, and public health: a review of current literature.

    Science.gov (United States)

    Stuckey, Heather L; Nobel, Jeremy

    2010-02-01

    This review explores the relationship between engagement with the creative arts and health outcomes, specifically the health effects of music engagement, visual arts therapy, movement-based creative expression, and expressive writing. Although there is evidence that art-based interventions are effective in reducing adverse physiological and psychological outcomes, the extent to which these interventions enhance health status is largely unknown. Our hope is to establish a foundation for continued investigation into this subject and to generate further interest in researching the complexities of engagement with the arts and health.

  11. Using human rights to improve maternal and neonatal health: history, connections and a proposed practical approach.

    Science.gov (United States)

    Gruskin, Sofia; Cottingham, Jane; Hilber, Adriane Martin; Kismodi, Eszter; Lincetto, Ornella; Roseman, Mindy Jane

    2008-08-01

    We describe the historical development of how maternal and neonatal mortality in the developing world came to be seen as a public-health concern, a human rights concern, and ultimately as both, leading to the development of approaches using human rights concepts and methods to advance maternal and neonatal health. We describe the different contributions of the international community, women's health advocates and human rights activists. We briefly present a recent effort, developed by WHO with the Harvard Program on International Health and Human Rights, that applies a human rights framework to reinforce current efforts to reduce maternal and neonatal mortality.

  12. Making the links: do we connect climate change with health? A qualitative case study from Canada.

    Science.gov (United States)

    Cardwell, Francesca S; Elliott, Susan J

    2013-03-08

    Climate change has been described as the biggest global health threat of the 21st century. Typically framed as an environmental issue, some suggest this view has contributed to public ambivalence and hence a lack of public engagement. The lack of understanding of climate change as a significant environmental health risk on the part of the lay public represents a significant barrier to behaviour change. We therefore need to think about reframing the impact of climate change from an environmental to a health issue. This paper builds on calls for increased understanding of the public's views of human health risks associated with climate change, focusing on facilitators and barriers to behaviour change. Semi-structured in-depth interviews (n = 22) with residents of the Golden Horseshoe region of Southern Ontario were conducted between August 2010 and January 2011. Topics included individual and community health, climate change, and facilitators and barriers to behaviour change. Few participants recognized the role of the environment in the context of either individual and community health. When asked about health concerns specific to their community, however, environmental issues were mentioned frequently. Health effects as possible impacts of global environmental change were mentioned by 77% of participants when prompted, but this link was not described in great detail or within the context of impacting their communities or themselves. Participants were willing to act in environmentally friendly ways, and possible incentives to undertake behaviour change such as decreasing cost were described. Health co-benefits were not identified as incentives to engaging in mitigative or adaptive behaviours. The results support recent calls for reframing the impact of climate change from an environmental to a public health issue in order to increase public engagement in adaptive and mitigative behaviour change. While previous research has touched on public awareness of the

  13. A Connected History of Health and Education: Learning Together toward a Better City

    Science.gov (United States)

    Howard, Joanne; Howard, Diane; Dotson, Ebbin

    2015-01-01

    The infrastructure, financial, and human resource histories of health and education are offered as key components of future strategic planning initiatives in learning cities, and 10 key components of strategic planning initiatives designed to enhance the health and wealth of citizens of learning cities are discussed.

  14. Connecting Health and Natural History: A Failed Initiative at the American Museum of Natural History, 1909–1922

    Science.gov (United States)

    2014-01-01

    In 1909, curator Charles-Edward Winslow established a department of public health in New York City’s American Museum of Natural History (AMNH). Winslow introduced public health as a biological science that connected human health—the modern sciences of physiology, hygiene, and urban sanitation—to the natural history of plants and animals. This was the only time an American museum created a curatorial department devoted to public health. The AMNH’s Department of Public Health comprised a unique collection of live bacterial cultures—a “Living Museum”—and an innovative plan for 15 exhibits on various aspects of health. I show how Winslow, facing opposition from AMNH colleagues, gathered scientific experts and financial support, and explain the factors that made these developments seem desirable and possible. I finish with a discussion of how the Department of Public Health met an abrupt and “inglorious end” in 1922 despite the success of its collections and exhibitions. PMID:24205997

  15. Integrating medical and environmental sociology with environmental health: crossing boundaries and building connections through advocacy.

    Science.gov (United States)

    Brown, Phil

    2013-06-01

    This article reviews the personal and professional processes of developing an interdisciplinary approach to understanding the complex issues of environmental health in their community, political-economic, social science, and scientific contexts. This interdisciplinary approach includes a synthesis of research, policy work, and advocacy. To examine multiple forms of interdisciplinarity, I examine pathways of integrating medical and environmental sociology via three challenges to the boundaries of traditional research: (1) crossing the boundaries of medical and environmental sociology, (2) linking social science and environmental health science, and (3) crossing the boundary of research and advocacy. These boundary crossings are discussed in light of conceptual and theoretical developments of popular epidemiology, contested illnesses, and health social movements. This interdisciplinary work offers a more comprehensive sociological lens for understanding complex problems and a practical ability to join with scientists, activists, and officials to meet public health needs for amelioration and prevention of environmental health threats.

  16. Our land, our language: connecting dispossession and health equity in an indigenous context.

    Science.gov (United States)

    Brown, Helen J; McPherson, Gladys; Peterson, Ruby; Newman, Vera; Cranmer, Barbara

    2012-06-01

    For contemporary Indigenous people, colonial relations (past and present) intersect with neoliberal policies and practices to create subtle forms of dispossession.These undermine the health of Indigenous peoples and create barriers restricting access to appropriate health services. Integrating insights from the critical geographer David Harvey, the authors demonstrate how the dispossession of land and language threaten health and well-being and worsen existing illness conditions. Drawing on the qualitative findings from a program of community-based research with the 'Namgis First Nation in the Canadian province of British Columbia, the authors argue for an account of how neoliberal mechanisms operate to further the "accumulation by dispossession" associated with historical and ongoing colonialism. Specifically, they show how neoliberal ideologies operate to sustain medical colonialism and health inequities for Indigenous peoples. The authors discuss the implications for nursing actions to achieve health equity in rural First Nations communities.

  17. Prevalence of Dermatoses in Tribal Population of Kalrayan Hill (South Arcot District

    Directory of Open Access Journals (Sweden)

    C Mahalingam

    1986-01-01

    Full Text Available A sample survey was conducted to find out the prevalence of dermatoses among the tribal population of Kalrayan hill in South Arcot district who were recently found out .from the hidden spots of the hill. The prevalence of dermatoses was 40% among the 242 screened. Scabies had a prevalence of 22.7% and was more among the tribal s chool children put in huts, emphasizing the need for adequate shelter and health education. The low frequency of nutritional dermatoses 3.7% is attributed to the implementation of the noon-meal scheme. Surprising low prevalence rate for leprosy (1.7% in this highly endemic district of South Arcot needs further probing to find out some clues for protection from leprosy.

  18. Socioeconomic status, labour market connection, and self-rated psychological health: the role of social capital and economic stress.

    Science.gov (United States)

    Lindström, Martin; Ali, Sadiq M; Rosvall, Maria

    2012-02-01

    To investigate the association between socioeconomic status, unemployment and self-rated psychological health, taking economic stress and horizontal trust into account. The 2008 public health survey in Skåne is a cross-sectional postal questionnaire study with a 55% participation rate. A random sample was invited and 28,198 persons aged 18-80 participated. Logistic regression models were used to investigate associations between socioeconomic status by occupation (SES), labour market connection and self-rated psychological health (GHQ12). The multiple regression analyses included age, country of birth, education, economic stress and generalized (horizontal) trust. 13.8% of the men and 18.2% of the women had poor psychological health. Poor psychological health was more common among the young, among those born abroad, among those with lower education, with economic stress, and low horizontal trust. There were no significant differences between the employed and self-employed groups. However, the people who had retired early, the unemployed and those on long-term sick leave had significantly higher odds ratios of poor psychological health than higher non-manual employees throughout the analyses. There were no differences in psychological health between non-manual employees in higher positions and other employed and self-employed SES groups among men or women. In contrast, the early retired, the unemployed and the category on long-term sick leave had significantly higher odds ratios of poor psychological health among both men and women throughout the multiple analyses. Both economic stress and trust affected this association (i.e., lowered the odds ratios of poor psychological health), but affected by economic stress to a somewhat higher extent.

  19. Predictors of knowledge towards malaria of rural tribal communities in Dhalai District of Tripura, India.

    Science.gov (United States)

    Kumar, S; Debbarma, A

    2013-10-01

    Reduction of malarial morbidity and mortality is one of the top public health priorities in Tripura and the Country. To achieve these targets it is imperative to have active community participation to control malaria. Community participation in turn depends on people's knowledge and attitude towards the disease. This study was conducted to examine the factors that predict the knowledge of rural tribal communities in Dhalai district of Tripura towards malaria. This community based epidemiological cross-sectional descriptive study was carried out in Dhalai district of Tripura. A pre-tested structured questionnaire collecting socio-demographic and malaria-related KAP information was administered to the 216 adult respondents from a representative sample of households. As a whole, there were 147(68.1%) illiterate respondents. Out of them, 89(41.2%) persons were male and 58(26.9%) were female. Correct knowledge about the cause of malaria was 2.77 times higher in males than females and 11.53 times higher in literate tribal people than in illiterate. Correct knowledge about the symptoms fever, chills, and rigors of malaria were also higher in male sex and in literate tribal people. Use of smoke as preventive measure was very high among the respondents. Common predictors of correct knowledge about etiology and clinical features of malaria were in male Tripuri and Reang community. Use of smoke for killing of adult mosquito was predicted by illiteracy. Promotion of literacy and participation in health education are vital component in terms of knowledge and practice.

  20. 25 CFR 18.101 - May a tribe create and adopt its own tribal probate code?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false May a tribe create and adopt its own tribal probate code... PROBATE CODES Approval of Tribal Probate Codes § 18.101 May a tribe create and adopt its own tribal probate code? Yes. A tribe may create and adopt a tribal probate code. ...

  1. [Environmental licensing of major undertakings: possible connection between health and environment].

    Science.gov (United States)

    Silveira, Missifany; Araújo Neto, Mário Diniz de

    2014-09-01

    The prospect of multidisciplinary assessment that considers the environmental impacts on the health of the population during the implementation of potentially polluting projects is incipient in Brazil. Considering the scenario of major undertakings in the country, broadening the outlook on the health and environment relationship based on social and economic development processes striving for environmentally sustainable projects is a key strategy. This article examines the debate on the relationship between the current development model, the risks, the environment and health and discusses the importance of the participation of the health sector in the environmental licensing procedures, which is the instrument of the Environmental Impact Assessment (EIA). Seeking to create more environmentally and socially sustainable territories, the health sector has been looking for opportunities to participate in the licensing processes of major undertakings from the EIA standpoint. Results of research conducted by the Ministry of Health have demonstrated the form of participation in these processes, highlighting the strengths and weaknesses that favor or hinder the increase of preventive actions in public health in the implementation of major undertakings in Brazil.

  2. Stress and resource pathways connecting early socioeconomic adversity to young adults' physical health risk.

    Science.gov (United States)

    Wickrama, Kandauda K A S; Lee, Tae Kyoung; O'Neal, Catherine Walker; Kwon, Josephine A

    2015-05-01

    Although research has established the impact of early stress, including stressful life contexts, and early resources, such as educational attainment, on various adolescent health outcomes, previous research has not adequately investigated "integrative models" incorporating both stress and resource mediational pathways to explain how early socioeconomic adversity impacts physical health outcomes, particularly in early life stages. Data on early childhood/adolescent stress and socioeconomic resources as well as biomarkers indicating physical health status in young adulthood were collected from 11,798 respondents (54 % female) over a 13-year period from youth participating in the National Study of Adolescent Health (Add Health). Physical health risk in young adulthood was measured using a composite index of nine regulatory biomarkers of cardiovascular and metabolic systems. Heterogeneity in stress and socioeconomic resource pathways was assessed using latent class analysis to identify clusters, or classes, of stress and socioeconomic resource trajectories. The influence of early socioeconomic adversity on young adults' physical health risk, as measured by biomarkers, was estimated, and the role of stress and socioeconomic resource trajectory classes as linking mechanisms was assessed. There was evidence for the influence of early socioeconomic adversity on young adults' physical health risk directly and indirectly through stress and socioeconomic resource trajectory classes over the early life course. These findings suggest that health models should be broadened to incorporate both stress and resource experiences simultaneously. Furthermore, these findings have prevention and intervention implications, including the importance of early socioeconomic adversity and key intervention points for "turning" the trajectories of at-risk youth.

  3. Transgender Noninclusive Healthcare and Delaying Care Because of Fear: Connections to General Health and Mental Health Among Transgender Adults

    Science.gov (United States)

    Seelman, Kristie L.; Colón-Diaz, Matthew J.P.; LeCroix, Rebecca H.; Xavier-Brier, Marik; Kattari, Leonardo

    2017-01-01

    Abstract Purpose: There are many barriers to reliable healthcare for transgender people that often contribute to delaying or avoiding needed medical care. Yet, few studies have examined whether noninclusive healthcare and delaying needed medical care because of fear of discrimination are associated with poorer health among transgender adults. This study aims to address these gaps in the knowledge base. Methods: This study analyzed secondary data from a statewide survey of 417 transgender adults in the Rocky Mountain region of the United States. Independent variables included noninclusive healthcare from a primary care provider (PCP) and delay of needed medical care because of fear of discrimination. Dependent variables assessed general health and mental health. Results: Transgender individuals who delayed healthcare because of fear of discrimination had worse general health in the past month than those who did not delay or delayed care for other reasons (B=−0.26, pdiscrimination, having a noninclusive PCP was not significantly associated with either general health or mental health. Conclusion: This study suggests a significant association between delaying healthcare because of fear of discrimination and worse general and mental health among transgender adults. These relationships remain significant even when controlling for provider noninclusivity, suggesting that fear of discrimination and consequent delay of care are at the forefront of health challenges for transgender adults. The lack of statistical significance for noninclusive healthcare may be related to the measurement approach used; future research is needed to develop an improved tool for measuring transgender noninclusive healthcare. PMID:28861545

  4. Independent origins of Indian caste and tribal paternal lineages.

    Science.gov (United States)

    Cordaux, Richard; Aunger, Robert; Bentley, Gillian; Nasidze, Ivane; Sirajuddin, S M; Stoneking, Mark

    2004-02-03

    The origins of the nearly one billion people inhabiting the Indian subcontinent and following the customs of the Hindu caste system are controversial: are they largely derived from Indian local populations (i.e. tribal groups) or from recent immigrants to India? Archaeological and linguistic evidence support the latter hypothesis, whereas recent genetic data seem to favor the former hypothesis. Here, we analyze the most extensive dataset of Indian caste and tribal Y chromosomes to date. We find that caste and tribal groups differ significantly in their haplogroup frequency distributions; caste groups are homogeneous for Y chromosome variation and more closely related to each other and to central Asian groups than to Indian tribal or any other Eurasian groups. We conclude that paternal lineages of Indian caste groups are primarily descended from Indo-European speakers who migrated from central Asia approximately 3,500 years ago. Conversely, paternal lineages of tribal groups are predominantly derived from the original Indian gene pool. We also provide evidence for bidirectional male gene flow between caste and tribal groups. In comparison, caste and tribal groups are homogeneous with respect to mitochondrial DNA variation, which may reflect the sociocultural characteristics of the Indian caste society.

  5. Childhood anemia - A study in tribal area of Mohana block in Orissa

    Directory of Open Access Journals (Sweden)

    Sahu T

    2007-01-01

    Full Text Available Background : Anemia is widely prevalent in India and affects both sexes and all age group. Although the National Anemia Prophylaxis Programme (NAPP has been set up in all states of the country since 1970, the benefits have not yet been appreciated in the target population. Objective : 1. To assess the prevalence of anemia and its severity in tribal children. 2. To find out age & sex wise distribution of Hb level in these children. 3. To explore different underlying factors of development of anemia. Methods : The present study is a cross sectional study conducted in tribal villages of Mohana block in Gajapati district of Orissa. A total of 599 tribal children in the age group 6 month - 14 years were recruited from August 2004 to February 2005. The study variables included age, sex, Hb level, food consumption and clinicoepidemiological factors which were analysed by simple proportion and Z test. Results : About 94% of under five children were found to be anemic and 8.8% of them were severely anemic. Almost all children of age group 5-14 years were anemic, amongst them 59.4% were moderately anemic and 5. 4% were severely anemic. There is no significant difference in mean Hb level between male and female in both the age groups. It was significantly more in the age group of 5-14 years. About 94% were taking food of low iron bioavailability. Pallor was found in 33.6% and H/O irregular fever in 28.7% of children. 26.9% children had splenomegaly. Only 2.3% children had taken IFA supplementation in last one year. Conclusions : Anemia is a major health problem in tribal children. Reorientation of primary health care functionaries to cover the children under NNAPP with the help of ICDS workers and school authorities.

  6. CONNECTIVITY OF ENVIRONMENT, HUMAN HEALTH AND SOCIOECONOMICS: IMPLICATIONS FOR SCIENCE AND POLICY

    Science.gov (United States)

    Environmental and public health policy continues to evolve in response to new and complex social, economic and environmental drivers. Globalization of commerce, evolving patterns of land use, and technological advances in such areas as manufacturing and genetically modified food...

  7. Colville Tribal Fish Hatchery, annual report 2001

    International Nuclear Information System (INIS)

    2001-01-01

    Federal hydropower projects as well as private power utility systems have had a devastating impact upon anadromous fish resources that once flourished in the Columbia River and it's tributaries. Several areas were completely blocked to anadromous fish by dams, causing the native people who's number one food resource was salmon to rely entirely upon resident fish to replace lost fisheries resources. The Colville Tribal Fish Hatchery is an artificial production program to partially mitigate for anadromous fish losses in the ''Blocked Area'' above Chief Joseph and Grand Coulee Dams pursuant to Resident Fish Substitution Policy of the Northwest Power Planning Councils Fish and Wildlife Program. The hatchery was accepted into the Council's Fish and Wildlife Program in 1984 as a resident fish substitution measure and the hatchery was completed in 1990. The minimum production quota for this facility is 22,679 kg (50,000 lbs.) of trout. To achieve this quota the Colville Tribal Hatchery was scheduled to produce 174,000 fingerling rainbow trout (5 grams/fish), 330,000 sub-yearling rainbow trout (15 grams/fish), 80,000 legal size rainbow trout (90 grams/fish), 196,000 fingerling brook trout (5 grams/fish), 330,000 subyearling brook trout (15 grams/fish) and 60,000 lahontan cutthroat trout (15 grams/fish) in 2001. All fish produced are released into reservation waters, including boundary waters in an effort to provide a successful subsistence /recreational fishery for Colville Tribal members as well as a successful non-member sport fishery. The majority of the fish distributed from the facility are intended to provide a ''carry-over'' fishery. Fish produced at the facility are intended to be capable of contributing to the natural production component of the reservation fish populations. Contribution to the natural production component will be achieved by producing and releasing fish of sufficient quality and quantity for fish to survive to spawning maturity, to spawn

  8. Constantly connected - The effects of smart-devices on mental health

    OpenAIRE

    Harwood, Janet; Dooley, J.J.; Scott, A.J.; Joiner, R

    2014-01-01

    A number of studies have demonstrated the mental health implications of excessive Internet-browsing, gaming, texting, emailing, social networking, and phone calling. However, no study to date has investigated the impact of being able to conduct all of these activities on one device. A smart-device (i.e., smart-phone or tablet) allows these activities to be conducted anytime and anywhere, with unknown mental health repercussions. This study investigated the association between smart-device use...

  9. Making the links: do we connect climate change with health? A qualitative case study from Canada

    OpenAIRE

    Cardwell, Francesca S; Elliott, Susan J

    2013-01-01

    Background Climate change has been described as the biggest global health threat of the 21st century. Typically framed as an environmental issue, some suggest this view has contributed to public ambivalence and hence a lack of public engagement. The lack of understanding of climate change as a significant environmental health risk on the part of the lay public represents a significant barrier to behaviour change. We therefore need to think about reframing the impact of climate change from an ...

  10. The Four Domains Model: Connecting Spirituality, Health and Well-Being

    OpenAIRE

    John Fisher

    2011-01-01

    At our core, or coeur, we humans are spiritual beings. Spirituality can be viewed in a variety of ways from a traditional understanding of spirituality as an expression of religiosity, in search of the sacred, through to a humanistic view of spirituality devoid of religion. Health is also multi-faceted, with increasing evidence reporting the relationship of spirituality with physical, mental, emotional, social and vocational well-being. This paper presents spiritual health as a, if not THE, f...

  11. The health advantage of a vegan diet: exploring the gut microbiota connection.

    Science.gov (United States)

    Glick-Bauer, Marian; Yeh, Ming-Chin

    2014-10-31

    This review examines whether there is evidence that a strict vegan diet confers health advantages beyond that of a vegetarian diet or overall healthy eating. Few studies include vegan subjects as a distinct experimental group, yet when vegan diets are directly compared to vegetarian and omnivorous diets, a pattern of protective health benefits emerges. The relatively recent inclusion of vegan diets in studies of gut microbiota and health allows us the opportunity to assess whether the vegan gut microbiota is distinct, and whether the health advantages characteristic of a vegan diet may be partially explained by the associated microbiota profile. The relationship between diet and the intestinal microbial profile appears to follow a continuum, with vegans displaying a gut microbiota most distinct from that of omnivores, but not always significantly different from that of vegetarians. The vegan gut profile appears to be unique in several characteristics, including a reduced abundance of pathobionts and a greater abundance of protective species. Reduced levels of inflammation may be the key feature linking the vegan gut microbiota with protective health effects. However, it is still unclear whether a therapeutic vegan diet can be prescribed to alter the gut microflora for long-term health benefits.

  12. The Health Advantage of a Vegan Diet: Exploring the Gut Microbiota Connection

    Directory of Open Access Journals (Sweden)

    Marian Glick-Bauer

    2014-10-01

    Full Text Available This review examines whether there is evidence that a strict vegan diet confers health advantages beyond that of a vegetarian diet or overall healthy eating. Few studies include vegan subjects as a distinct experimental group, yet when vegan diets are directly compared to vegetarian and omnivorous diets, a pattern of protective health benefits emerges. The relatively recent inclusion of vegan diets in studies of gut microbiota and health allows us the opportunity to assess whether the vegan gut microbiota is distinct, and whether the health advantages characteristic of a vegan diet may be partially explained by the associated microbiota profile. The relationship between diet and the intestinal microbial profile appears to follow a continuum, with vegans displaying a gut microbiota most distinct from that of omnivores, but not always significantly different from that of vegetarians. The vegan gut profile appears to be unique in several characteristics, including a reduced abundance of pathobionts and a greater abundance of protective species. Reduced levels of inflammation may be the key feature linking the vegan gut microbiota with protective health effects. However, it is still unclear whether a therapeutic vegan diet can be prescribed to alter the gut microflora for long-term health benefits.

  13. [Case management as a methodology for connecting the health and social care systems in Spain].

    Science.gov (United States)

    Garcés, Jorge; Ródenas, Francisco

    2015-10-01

    The aim of this paper is to present the assessment of a case management project, implemented with chronic patients in Valencia, for the integration of health and social care. This project is linked with the 'Sustainable Socio-Health Model'. Health department 06 in Valencia. The target groups were chronic patients of 65 years and over. A non-randomized non-blinded comparative study with an intervention and control group. The intervention consisted in the creation of an interdisciplinary case management team, the use of a common portfolio of resources, and its application to a pilot sample with an intervention period of 6-9 months. Diseases (ICD-9), functional capacity, use of health and social resources, satisfaction, unit cost services. There was an increase in the combined use of health and social resources in the intervention group, which included social day centers (21.8% in the intervention group compared to 9.8% in the control group), in coordination with primary care (suggested as the only health resource in 55.4% of cases). There was a decrease in the number of medical visits in the intervention group (43.6% versus 74.5% in the control group). Increased patient satisfaction (55.5% in the intervention group compared to 29.4% in the control group) was observed. At least an extra 4.4% of patients were treated using hospital resources without increasing costs. Case management using a common unique portfolio of health and social resources can improve the coordination of resources, increases patient satisfaction and increases the capacity of using of hospital resources. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  14. How to connect bioethics and environmental ethics: health, sustainability, and justice.

    Science.gov (United States)

    Dwyer, James

    2009-11-01

    In this paper, I explore one way to bring bioethics and environmental ethics closer together. I focus on a question at the interface of health, sustainability, and justice: How well does a society promote health with the use of no more than a just share of environmental capacity? To address this question, I propose and discuss a mode of assessment that combines a measurement of population health, an estimate of environmental sustainability, and an assumption about what constitutes a fair or just share. This mode of assessment provides an estimate of the just and sustainable life expectancy of a population. It could be used to monitor how well a particular society promotes health within just environmental limits. It could also serve as a source of information that stakeholders use when they deliberate about programs, policies, and technologies. The purpose of this work is to focus attention on an ethical task: the need to fashion institutions and forms of life that promote health in ways that recognize the claims of sustainability and justice.

  15. The 2012 Fungal Meningitis Outbreak in the United States: Connections Between Soils and Human Health

    Science.gov (United States)

    Burgess, Lynn; Brevik, Eric

    2013-04-01

    In September of 2012 the United States found itself facing a fungal meningitis outbreak that was traced back to contaminated steroid injections. The fungus Exserohilium rostratum, which is found in soil, among other locations in the environment, was identified as the main cause of the health issues created by the contaminated steroids. As of November 7, 2012 419 cases of fungal meningitis, stroke due to presumed fungal meningitis, or other central nervous system-related infections, 10 cases of peripheral joint infections, and 31 deaths linked to the contaminated steroids had been documented. However, the life cycle and soil ecology of E. rostratum is not well understood, and such knowledge would aid human health professionals in understanding the pathogenic potential of E. rostratum. Therefore, soil scientists have a role to play in developing the most effective ways to combat human health challenges such as the 2012 fungal meningitis outbreak.

  16. Landscape and Health: Connecting Psychology, Aesthetics, and Philosophy through the Concept of Affordance.

    Science.gov (United States)

    Menatti, Laura; Casado da Rocha, Antonio

    2016-01-01

    In this paper we address a frontier topic in the humanities, namely how the cultural and natural construction that we call landscape affects well-being and health. Following an updated review of evidence-based literature in the fields of medicine, psychology, and architecture, we propose a new theoretical framework called "processual landscape," which is able to explain both the health-landscape and the medical agency-structure binomial pairs. We provide a twofold analysis of landscape, from both the cultural and naturalist points of view: in order to take into account its relationship with health, the definition of landscape as a cultural product needs to be broadened through naturalization, grounding it in the scientific domain. Landscape cannot be distinguished from the ecological environment. For this reason, we naturalize the idea of landscape through the notion of affordance and Gibson's ecological psychology. In doing so, we stress the role of agency in the theory of perception and the health-landscape relationship. Since it is the result of continuous and co-creational interaction between the cultural agent, the biological agent and the affordances offered to the landscape perceiver, the processual landscape is, in our opinion, the most comprehensive framework for explaining the health-landscape relationship. The consequences of our framework are not only theoretical, but ethical also: insofar as health is greatly affected by landscape, this construction represents something more than just part of our heritage or a place to be preserved for the aesthetic pleasure it provides. Rather, we can talk about the right to landscape as something intrinsically linked to the well-being of present and future generations.

  17. Landscape and Health: Connecting Psychology, Aesthetics, and Philosophy through the Concept of Affordance

    Science.gov (United States)

    Menatti, Laura; Casado da Rocha, Antonio

    2016-01-01

    In this paper we address a frontier topic in the humanities, namely how the cultural and natural construction that we call landscape affects well-being and health. Following an updated review of evidence-based literature in the fields of medicine, psychology, and architecture, we propose a new theoretical framework called “processual landscape,” which is able to explain both the health-landscape and the medical agency-structure binomial pairs. We provide a twofold analysis of landscape, from both the cultural and naturalist points of view: in order to take into account its relationship with health, the definition of landscape as a cultural product needs to be broadened through naturalization, grounding it in the scientific domain. Landscape cannot be distinguished from the ecological environment. For this reason, we naturalize the idea of landscape through the notion of affordance and Gibson’s ecological psychology. In doing so, we stress the role of agency in the theory of perception and the health-landscape relationship. Since it is the result of continuous and co-creational interaction between the cultural agent, the biological agent and the affordances offered to the landscape perceiver, the processual landscape is, in our opinion, the most comprehensive framework for explaining the health-landscape relationship. The consequences of our framework are not only theoretical, but ethical also: insofar as health is greatly affected by landscape, this construction represents something more than just part of our heritage or a place to be preserved for the aesthetic pleasure it provides. Rather, we can talk about the right to landscape as something intrinsically linked to the well-being of present and future generations. PMID:27199808

  18. The Tribal Lands Collaboratory: Building partnerships and developing tools to support local Tribal community response to climate change.

    Science.gov (United States)

    Jones, K. D.; Wee, B.; Kuslikis, A.

    2015-12-01

    Response of Tribal nations and Tribal communities to current and emerging climate change challenges requires active participation of stakeholders who have effective access to relevant data, information and analytical tools. The Tribal Lands Collaboratory (TLC), currently under development, is a joint effort between the American Indian Higher Education Consortium (AIHEC), the Environmental Systems Research Institute (Esri), and the National Ecological Observatory Network (NEON). The vision of the TLC is to create an integrative platform that enables coordination between multiple stakeholders (e.g. Tribal resource managers, Tribal College faculty and students, farmers, ranchers, and other local community members) to collaborate on locally relevant climate change issues. The TLC is intended to facilitate the transformation of data into actionable information that can inform local climate response planning. The TLC will provide the technical mechanisms to access, collect and analyze data from both internal and external sources (e.g. NASA's Giovanni climate data portal, Ameriflux or USA National Phenology Network) while also providing the social scaffolds to enable collaboration across Tribal communities and with members of the national climate change research community. The prototype project focuses on phenology, a branch of science focused on relationships between climate and the seasonal timing of biological phenomena. Monitoring changes in the timing and duration of phenological stages in plant and animal co­­­­mmunities on Tribal lands can provide insight to the direct impacts of climate change on culturally and economically significant Tribal resources . The project will leverage existing phenological observation protocols created by the USA-National Phenology Network and NEON to direct data collection efforts and will be tailored to the specific needs and concerns of the community. Phenology observations will be captured and managed within the Collaboratory

  19. Optometry and ophthalmology: the Internet connection--assessing consumer health web sites.

    Science.gov (United States)

    Soroka, M; Schachne, E; Saludes, I

    2001-11-01

    The Internet is a major conduit of health information. Consumers frequently rely on it without verifying its validity. The purpose of this study was to assess the accuracy and currency of Internet-based information on the roles and practice of optometrists, which has been found to be misleading, inaccurate, and often outdated. Using search engines and ranking directories, 16 popular health Web sites were examined for differentiation between optometry and ophthalmology. Each site's eye care content was reviewed for syndication, definitions, provider directories, linkages to eye organizations, and provider recommendations in treatment of certain conditions. Many Web sites use a syndicated source for their health content and several use Merriam-Webster as their primary dictionary. A majority of sites provided poor definitions for optometry. Most Web sites were biased in recommending ophthalmologists and do not include optometrists as licensed providers in treatment of certain eye diseases. For example, Intelihealth, Aetnaushc, and Noah-Health recommend only ophthalmologists for the treatment of conjunctivitis. Inaccuracies and misleading information about optometry do exist and undermine the role of optometrists in delivery of eye care. When alerted, several Web sites were receptive to proposed changes. While some efforts have been undertaken to monitor Web sites, the profession must develop a concrete effort to ensure that it is correctly represented on the Internet.

  20. Connecting Students to Mental Health Care: Pilot Findings from an Engagement Program for School Nurses

    Science.gov (United States)

    Kim, Rachel E.; Becker, Kimberly D.; Stephan, Sharon H.; Hakimian, Serop; Apocada, Dee; Escudero, Pia V.; Chorpita, Bruce F.

    2015-01-01

    Schools function as the major provider of mental health services (MHS) for youth, but can struggle with engaging them in services. School nurses are well-positioned to facilitate referrals for MHS. This pilot study examined the feasibility, acceptability, and preliminary efficacy of an engagement protocol (EP) designed to enhance school nurses'…

  1. Socio-economic development and emotion-health connection revisited: a multilevel modeling analysis using data from 162 counties in China.

    Science.gov (United States)

    Yu, Zonghuo; Wang, Fei

    2016-03-12

    Substantial research has shown that emotions play a critical role in physical health. However, most of these studies were conducted in industrialized countries, and it is still an open question whether the emotion-health connection is a "first-world problem". In the current study, we examined socio-economic development's influence on emotion-health connection by performing multilevel-modeling analysis in a dataset of 33,600 individuals from 162 counties in China. Results showed that both positive emotions and negative emotions predicted level of physical health and regional Gross Domestic Product Per Capita (GDPPC) had some impact on the association between emotion and health through accessibility of medical resources and educational status. But these impacts were suppressed, and the total effects of GDPPC on emotion-health connections were not significant. These results support the universality of emotion-health connection across levels of GDPPC and provide new insight into how socio-economic development might affect these connections.

  2. Gun Violence: Two Medical Students' Hometown Connection to This Public Health Crisis.

    Science.gov (United States)

    Kuhl, Nicholas O; Lieberman, Monica P

    2018-05-02

    The school shooting in Parkland, Florida in February 2018 left 17 people dead and countless other children and teachers with physical and psychological trauma that will require decades of healing. As Marjory Stoneman Douglas High School alumni and current medical students, the authors of this Invited Commentary contend that they are in a unique position to advocate on behalf of their neighbors, classmates, and future patients. Since the authors began medical school in 2015, there have been 19 mass shootings in the United States resulting in 253 deaths. During this same time period, there have been nearly 100,000 gun-related deaths in the United States. While 60.7% of those gun deaths were suicides, the public must not, and should not, attribute all gun violence to the spectrum of psychiatric diagnoses. Several studies have shown that increased access to firearms directly increases the rate of one of the United States' most pressing public health issues--gun violence. Despite this fact, and as the result of misguided health policies like the Dickey Amendment, the funding for research on gun violence pales in comparison to that for other leading causes of death. Consequently, the health care community has long been without adequate data to engage in evidence-based gun violence prevention and education efforts. As two students on the cusp of beginning their medical careers, the authors argue that they and other health care providers can no longer sit idly on the sidelines as this public health crisis continues to impact the United States.

  3. Socio-Economic Conditions and Quality of Life in the Tribal Areas of Orissa with Special Reference to Mayurbhanj District

    Directory of Open Access Journals (Sweden)

    Dr N.C. Jana

    2015-11-01

    Full Text Available Odisha (previously known as Orissa, being socio-economically backward but culturally sound, is one of the important states in Eastern India. Out of 30 districts 9 are considered as tribal districts (according to Location Quotient value and of the total population (41,947,358 in 2011 a significant share (22.1% goes to tribal people (8,145,081in 2011. This tribal group of Odisha has special significance because they are one of the most backward and geographically isolated communities. That’s why their life style and economy is confined to the direct utilization of natural resources, pre-agricultural level of technology and specific indigenous type of work. But now with the emergence of industry and market economy, the age-old relationship between tribes and nature has disturbed. Keeping this in backdrop, the present study tried to explore the changing scenario of socio-economic condition in the tribal areas of Odisha. In this regard, various socio-economic indicators have been analyzed and compared for representing district-level patterns of quality of life and finding out the variation among the Primitive tribal households in the study area. In addition, Mayurbhanj has also been taken as a case study to represent the socio-economic condition and quality of life at the block level. It may be pointed out in this context that out of 30 districts in Odisha, according to Location Quotient value Mayurbhanj is the highest tribal concentrated district. The overall objective of this study is to obtain a better understanding of disparities and variations in socio-economic status in Odisha as well as in Mayurbhanj and also find out some remedial measures to overcome the problems to bring the Primitive tribal community in the main stream of the society. Maps have been prepared on the above-mentioned indicators based on secondary data using Arc-GIS 9.3. From the analysis of the health-related indicators it is clear from the analysis that the quality of life

  4. A study of infant deaths in tribal area of Andhra Pradesh, India

    Directory of Open Access Journals (Sweden)

    Ushashree Garikipati

    2013-01-01

    Full Text Available Objectives This study aimed to determine the prevalence of neonatal deaths and its underlying correlates in tribal area of Andhra Pradesh, India Methods We conducted a two phase cross-sectional study (N=230. Semi- structured questionnaire schedules (in the vernacular-Telugu were used in the initial qualitative phase, to obtain specific information from mothers who delivered in a one year period prior to the study. Information from the analysed qualitative data was used to construct a questionnaire-schedule for the 2nd phase which used quantitative survey techniques. Results It was observed that Infant Mortality ratio (IMR in Vizianagaram district was 239 per 1000 live births in the tribal areas under study. This was ten times higher than that reported by the district (22/1000 and 4-5 times higher than SRS data of 2011 for AP. It was observed that 28% of infants died within first day, 68% within first week (including the first day and 81% within first month. Conclusions The high IMR observed in the within first month of life in tribal areas, interventions to tackle them should be prioritized in this ‘golden period’. The health workers should be re-trained to identify and manage the early warning signs of neonatal complications.

  5. A study of infant deaths in tribal area of Andhra Pradesh, India

    Directory of Open Access Journals (Sweden)

    Ushashree Garikipati

    2013-09-01

    Full Text Available Objectives This study aimed to determine the prevalence of neonatal deaths and its underlying correlates in tribal area of Andhra Pradesh, India Methods We conducted a two phase cross-sectional study (N=230. Semi-structured questionnaire schedules (in the vernacular-Telugu were used in the initial qualitative phase, to obtain specific information from mothers who delivered in a one year period prior to the study. Information from the analysed qualitative data was used to construct a questionnaire-schedule for the 2nd phase which used quantitative survey techniques. Results It was observed that Infant Mortality ratio (IMR in Vizianagaram district was 239 per 1000 live births in the tribal areas under study. This was ten times higher than that reported by the district (22/1000 and 4-5 times higher than SRS data of 2011 for AP. It was observed that 28% of infants died within first day, 68% within first week (including the first day and 81% within first month. Conclusions The high IMR observed in the within first month of life in tribal areas, interventions to tackle them should be prioritized in this ‘golden period’. The health workers should be re-trained to identify and manage the early warning signs of neonatal complications.

  6. A secure and efficient uniqueness-and-anonymity-preserving remote user authentication scheme for connected health care.

    Science.gov (United States)

    Das, Ashok Kumar; Goswami, Adrijit

    2013-06-01

    Connected health care has several applications including telecare medicine information system, personally controlled health records system, and patient monitoring. In such applications, user authentication can ensure the legality of patients. In user authentication for such applications, only the legal user/patient himself/herself is allowed to access the remote server, and no one can trace him/her according to transmitted data. Chang et al. proposed a uniqueness-and-anonymity-preserving remote user authentication scheme for connected health care (Chang et al., J Med Syst 37:9902, 2013). Their scheme uses the user's personal biometrics along with his/her password with the help of the smart card. The user's biometrics is verified using BioHashing. Their scheme is efficient due to usage of one-way hash function and exclusive-or (XOR) operations. In this paper, we show that though their scheme is very efficient, their scheme has several security weaknesses such as (1) it has design flaws in login and authentication phases, (2) it has design flaws in password change phase, (3) it fails to protect privileged insider attack, (4) it fails to protect the man-in-the middle attack, and (5) it fails to provide proper authentication. In order to remedy these security weaknesses in Chang et al.'s scheme, we propose an improvement of their scheme while retaining the original merit of their scheme. We show that our scheme is efficient as compared to Chang et al.'s scheme. Through the security analysis, we show that our scheme is secure against possible attacks. Further, we simulate our scheme for the formal security verification using the widely-accepted AVISPA (Automated Validation of Internet Security Protocols and Applications) tool to ensure that our scheme is secure against passive and active attacks. In addition, after successful authentication between the user and the server, they establish a secret session key shared between them for future secure communication.

  7. Political Role of Tribes : Analysis of Tribalism, Islamism and Gender ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Political Role of Tribes : Analysis of Tribalism, Islamism and Gender in Iraq, Jordan ... When countries such as Jordan and Yemen adopted political pluralism, the ... Sign up now for IDRC news and views sent directly to your inbox each month.

  8. Tribal Alliances: Ways, Means, and Ends to Successful Strategy

    National Research Council Canada - National Science Library

    Taylor, Richard L

    2005-01-01

    .... Recognition of the potential value of tribal organizations, particularly in the "arc of instability stretching from the Western Hemisphere, through Africa and the Middle East and extending to Asia...

  9. State, Local and Tribal Resources for Creating Healthy Schools

    Science.gov (United States)

    This page will be a combination of three current pages on resources - ‘Resources for Healthier Schools’, ‘Schools: Student Curricula for Healthier School’ and ‘Schools: Regional, Tribal, State and Local Resources for Healthier Schools’ pages

  10. Processes linking cultural ingroup bonds and mental health: the roles of social connection and emotion regulation

    OpenAIRE

    Roberts, Nicole A.; Burleson, Mary H.

    2013-01-01

    Cultural and ethnic identities influence the relationships individuals seek out and how they feel and behave in these relationships, which can strongly affect mental and physical health through their impacts on emotions, physiology, and behavior. We proposed and tested a model in which ethnocultural identifications and ingroup affiliations were hypothesized explicitly to enhance social connectedness, which would in turn promote expectancy for effective regulation of negative emotions and redu...

  11. Tracing the Social Work Literature: Exploring Connections to Allied Health through Citation Analysis

    Directory of Open Access Journals (Sweden)

    Caitlin Bakker

    2015-06-01

    Full Text Available Social work is a complex and multidisciplinary field drawing on a wide range of literature in terms of format, age, and discipline. Librarians in both collections and public services must be aware of this diversity in order to serve this rapidly growing field. This study was designed to identify core journals in the social work field, the most commonly cited formats and the age of citations, to assess the use of non-social work journals in the social work literature, and to draw comparisons to results in allied health and social science disciplines. The ultimate goal of this work is to provide librarians supporting social work programs with data which can contribute to their assessment of collections, both for maintenance and accreditation, and which can allow them to have a broader understanding of the field and a more effective approach to instruction. 28,269 citations from 567 source articles were examined. Journal articles were the most commonly cited format (69.90%, followed by books (17.69%. Over 91% of all citations came from materials published after 1990 and over 50% of citations came from materials published in the last ten years. Of the 2,520 journals cited, 32 top journals (1.27% accounted for 6,612 (33.46% of all citations to journals. Of those 32 journals, six were assigned to the field of social work. The remaining core journals came from the fields of psychology, public health, psychiatry, family and gender studies, pediatrics, and medicine. Format distribution and citation age were found to be similar to that of psychology, health care management, health education, and nurse practitioners. There was little similarity with the fields of addictions treatment and sociology. Practical implications for librarians are discussed.

  12. Transforming consumer health informatics through a patient work framework: connecting patients to context.

    Science.gov (United States)

    Valdez, Rupa S; Holden, Richard J; Novak, Laurie L; Veinot, Tiffany C

    2015-01-01

    Designing patient-centered consumer health informatics (CHI) applications requires understanding and creating alignment with patients' and their family members' health-related activities, referred to here as 'patient work'. A patient work approach to CHI draws on medical social science and human factors engineering models and simultaneously attends to patients, their family members, activities, and context. A patient work approach extends existing approaches to CHI design that are responsive to patients' biomedical realities and personal skills and behaviors. It focuses on the embeddedness of patients' health management in larger processes and contexts and prioritizes patients' perspectives on illness management. Future research is required to advance (1) theories of patient work, (2) methods for assessing patient work, and (3) techniques for translating knowledge of patient work into CHI application design. Advancing a patient work approach within CHI is integral to developing and deploying consumer-facing technologies that are integrated with patients' everyday lives. © The Author 2014. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com. For numbered affiliations see end of article.

  13. The effects of social connections on self-rated physical and mental health among internal migrant and local adolescents in Shanghai, China

    Directory of Open Access Journals (Sweden)

    Mao Zheng-hong

    2012-02-01

    Full Text Available Abstract Background China is in the midst of history's largest flow of rural-urban migration in the world; a flow that includes growing numbers of children and adolescents. Their health status is an important public health issue. This study compares self-rated physical and mental health of migrant and local adolescents in China, and examines to what extent layered social connections account for health outcomes. Methods In 2010, we conducted a cross-sectional study among middle school students in Pudong New Area, Shanghai. Information about health status, social connections, and demographic factors were collected using a questionnaire survey. After controlling for sociodemographic factors, we used the t-test, Chi-square analysis, and a series of regression models to compare differences in health outcomes and explore the effects of social connections. Results Migrant adolescents reported significantly higher rates of good physical health. However, they also had significantly fewer social connections, lower self-esteem, and higher levels of depression than their native peers. Family cohesion was associated with depressive symptoms and low self-esteem among all adolescents; peer association and social cohesion played major roles in migrants' well-being. Gender, age, and socioeconomic (SES factors also affected adolescents' self-rated physical and mental health. Conclusions Self-rated data suggest that migrant adolescents enjoy a physical health advantage and a mental health disadvantage. Layered social connections, such as peer association and social cohesion, may be particularly important for migrants. A public health effort is required to improve the health status of migrant youth.

  14. DOE's Tribal Energy Program Offers Resources

    Energy Technology Data Exchange (ETDEWEB)

    Douglas C. MacCourt, Chair, Indian Law Practice, Ater Wynne LLP

    2010-06-01

    This handbook is an accessible reference for those who are new to tribal energy project development or who seek a refresher on key development issues as they navigate the project development process. Building upon the wealth of feedback and experiences shared by tribal and other participants in tribal energy workshops conducted by the National Renewable Energy Laboratory, it is designed to provide tribal leaders, tribal economic and energy enterprises, and those supporting them with a general overview of the renewable energy project development process. It includes information on how to structure a renewable energy project transaction to protect tribal interests, with an emphasis on joint project development efforts undertaken with nontribal parties; a general overview of key energy development agreements, including power sale agreements, transmission and interconnection agreements, and land leases; and a detailed discussion of ways tribes can finance renewable energy projects, the sources of funding or financing that may be available, the types of investors that may be available, and federal tax incentives for renewable energy projects. The guide also includes a glossary of some of the most commonly used technical terms.

  15. Perceptions of the Religion--Health Connection among African Americans in the Southeastern United States: Sex, Age, and Urban/Rural Differences

    Science.gov (United States)

    Holt, Cheryl L.; Schulz, Emily; Wynn, Theresa A.

    2009-01-01

    Extensive literature reviews suggest that religiousness is positively associated with health. Much less understood is the particular nature of the religion-health connection. Religion and the church play a central role in the lives of many African Americans. This study used a mixed-methods approach to examine perceptions of the religion-health…

  16. Connecting prosocial behavior to improved physical health: Contributions from the neurobiology of parenting.

    Science.gov (United States)

    Brown, Stephanie L; Brown, R Michael

    2015-08-01

    Although a growing body of evidence suggests that giving to (helping) others is linked reliably to better health and longevity for the helper, little is known about causal mechanisms. In the present paper we use a recently developed model of caregiving motivation to identify possible neurophysiological mechanisms. The model describes a mammalian neurohormonal system that evolved to regulate maternal care, but over time may have been recruited to support a wide variety of helping behaviors in humans and other social animals. According to the model, perception of need or distress in others activates caregiving motivation, which in turn, can facilitate helping behavior. Motivational regulation is governed by the medial preoptic area of the hypothalamus, interacting with certain other brain regions, hormones, and neuromodulators (especially oxytocin and progesterone). Consideration of neurohormonal circuitry and related evidence raises the possibility that it is these hormones, known to have stress-buffering and restorative properties, that are responsible, at least in part, for health and longevity benefits associated with helping others. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Morphological and Dimensional Characteristics of Dental Arch among Tribal and Non-tribal Population of Central India: A Comparative Study

    Science.gov (United States)

    Yadav, Naveen S; Saxena, Vrinda; Vyas, Rajesh; Sharma, Rohit; Sharva, Vijayta; Dwivedi, Ashish; Jain, Manish

    2014-01-01

    Background: Differences in the dental arch among Bhil Aboriginals were investigated and compared with non-tribal individuals residing in a tribal zone of Central India. Plaster models (120) were made with the help of alginate impression of tribal adults as well as non-tribal adults residing in the same area. The supposition as aboriginals being primitive due to dietary practices maxillary arch size and mandibular arch size is distended in comparison to the non-tribal population as adaptation of soft refined diet has disrupted the growth of the jaws. Hence, an attempt was made to evaluate the arch widths of tribal population and to associate it with non-tribe population in the same area of Central India. Materials and Methods: Difference in morphology and dimension of the maxillary and mandibular arches was aimed at Bhil tribes as well as non-tribal residents of tribe rich zone of Central India. The study was steered amid 120 individuals both tribal and non-tribe equally around 60 each through a well-organized out-reach program intermittently. Study models were made of dental arches of all participants. All measurements of the arch dimension were patent on the study casts using an electronic digital sliding caliper. Pair t-test was applied by using SPSS software version-19.0. Results: In the maxillary arch, on appraisal the non-tribal and Bhil tribe’s subjects, it showed a statistically significant difference in inter-incisor width (2.95 mm), inter-canine width (2.60 mm), arch depth (3.25 mm). While inter premolar width (0.20 mm) and inter molar width (0.80 mm) anterior arch length (0.60 mm), and posterior arch length (0.10 mm) showed statistically not significant difference between non-tribal population and Bhil tribe subjects. In the mandibular arch, it showed a statistically significant difference in inter-canine width (1.00 mm). Although, inter-incisor width (0.72 mm), inter-molar width (0.80 mm), arch depth (0.90 mm), anterior arch length (0.30 mm), posterior

  18. Spokane Tribal Hatchery, 2003 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Peone, Tim L. (Spokane Tribe of Indians, Wellpinit, WA)

    2004-05-01

    Due to the construction and operation of Grand Coulee Dam (1939), anadromous salmon have been eradicated and resident fish populations permanently altered in the upper Columbia River region. Federal and private hydropower dam operations throughout the Columbia River system severely limits indigenous fish populations in the upper Columbia. Artificial production has been determined appropriate for supporting a harvestable fishery for kokanee salmon (Oncorhynchus nerka) and rainbow trout (Oncorhynchus mykiss) in Lake Roosevelt and Banks Lake (Grand Coulee Dam impoundments). A collaborative multi-agency artificial production program for the Lake Roosevelt and Banks Lake fisheries exists consisting of the Spokane Tribal Hatchery, Sherman Creek Hatchery, Ford Trout Hatchery and the Lake Roosevelt Kokanee and Rainbow Trout Net Pen Rearing Projects. These projects operate complementary of one another to target an annual release of 1 million yearling kokanee and 500,000 yearling rainbow trout for Lake Roosevelt and 1.4 million kokanee fry/fingerlings for Banks Lake. Combined fish stocking by the hatcheries and net pen rearing projects in 2003 included: 899,168 kokanee yearlings released into Lake Roosevelt; 1,087,331 kokanee fry/fingerlings released into Banks Lake, 44,000 rainbow trout fingerlings and; 580,880 rainbow trout yearlings released into Lake Roosevelt. Stock composition of 2003 releases consisted of Lake Whatcom kokanee, 50:50 diploid-triploid Spokane Trout Hatchery (McCloud River) rainbow trout and Phalon Lake red-band rainbow trout. All kokanee were marked with either thermal, oxytetracyline or fin clips prior to release. Preliminary 2003 Lake Roosevelt fisheries investigations indicate hatchery/net pen stocking significantly contributed to harvestable rainbow trout and kokanee salmon fisheries. An increase in kokanee harvest was primarily owing to new release strategies. Walleye predation, early maturity and entrainment through Grand Coulee Dam continues to

  19. A comparative study on self-esteem among tribal and non-tribal students in Udupi Taluk, Karnataka, India

    OpenAIRE

    Uday Narayan Yadav

    2013-01-01

    Self esteem is defined as the positive or negative attitude about self, the degree of liking or satisfaction within self, and owns feeling of perceived worth as compared with others. Healthy self-esteem is important to be successful and happy throughout one’s life. The aim of this study was to compare the self esteem among tribal and non-tribal student in Udupi Taluk. A descriptive cross sectional study was conducted in November 2012 in government school of Brahmavar, Udupi ...

  20. Functional outcome in contemporary children with total cavopulmonary connection - Health-related physical fitness, exercise capacity and health-related quality of life.

    Science.gov (United States)

    Hock, Julia; Reiner, Barbara; Neidenbach, Rhoia C; Oberhoffer, Renate; Hager, Alfred; Ewert, Peter; Müller, Jan

    2018-03-15

    Children and adolescents with an univentricular heart after total cavopulmonary connection (TCPC) have functional impairments. This study assesses health-related physical fitness (HRPF) and exercise capacity, as well as their relation to health-related quality of life (HRQoL) in patients with an univentricular heart after total-pulmonary connection (TCPC). Between July 2014 and October 2016 a total of 78 children and adolescents with TCPC (12.0±3.2years, 21 female) performed a motor test including five tasks for strength and flexibility during their routine follow-up appointment. They also underwent a symptom limited cardio-pulmonary exercise test and filled in a HRQoL questionnaire (KINDL-R). Patients' data were compared to a recent sample of healthy children (n=1650, 12.6±2.4years, 49% female). Multivariable regressions corrected for sex, age and BMI showed that TCPC patients achieved 12.4 repetitions of curl-ups (pflexibility (-4.7cm; pmotor competence and exercise capacity, early screening for HRPF and early treatment, if indicated, is recommended. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  1. Predictor variables of happiness and its connection with risk and protective factors for health

    Directory of Open Access Journals (Sweden)

    Maite eGaraigordobil

    2015-08-01

    Full Text Available Great thinkers, philosophers, scientists, and artists from History have often been concerned about one of the most important elements of life: happiness. The study had four goals: 1 To analyze possible differences in feelings of happiness as a function of sex and age; 2 To explore the relations of happiness with risk factors (psychopathological symptoms, behavior problems and protective factors (self-concept-self-esteem, cooperative behavior, social skills for health; 3 To identify predictor variables of happiness; and 4 To explore whether self-esteem mediates the relationship between happiness and psychopathological symptoms. The sample comprised 286 adolescents (14-16 years old. The study used a descriptive, correlational, and cross-sectional methodology. Seven assessment instruments were administered. The ANOVAs confirm that there are no sex differences, but happiness decreases as age increases. Pearson coefficients show that adolescents with more feelings of happiness had fewer psychopathological symptoms (somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism…, fewer behavioral problems (school-academic, antisocial behavior, shyness-withdrawal, psychopathological, psychosomatic, high social adaptation, high self-concept/self-esteem, many cooperative behaviors, many appropriate social skills, and few negative social skills (inappropriate assertiveness, impulsiveness, jealousy-withdrawal. Multiple regression analysis identified five variables predicting happiness: high self-concept, few symptoms of depression, many cooperative behaviors, high self-esteem, and low psychoticism. Results showed a partial mediational effect of self-esteem in the relation between happiness and psychopathological symptoms. The discussion focuses on the importance of implementing programs to promote feelings of happiness, as well as protective factors for health (self

  2. Predictor variables of happiness and its connection with risk and protective factors for health

    Science.gov (United States)

    Garaigordobil, Maite

    2015-01-01

    Great thinkers, philosophers, scientists, and artists from History have often been concerned about one of the most important elements of life: happiness. The study had four goals: (1) To analyze possible differences in feelings of happiness as a function of sex and age; (2) To explore the relations of happiness with risk factors (psychopathological symptoms, behavior problems) and protective factors (self-concept-self-esteem, cooperative behavior, social skills) for health; (3) To identify predictor variables of happiness; and (4) To explore whether self-esteem mediates the relationship between happiness and psychopathological symptoms. The sample comprised 286 adolescents (14–16 years old). The study used a descriptive, correlational, and cross-sectional methodology. Seven assessment instruments were administered. The ANOVAs confirm that there are no sex differences, but happiness decreases as age increases. Pearson coefficients show that adolescents with more feelings of happiness had fewer psychopathological symptoms (somatization, obsession–compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism…), fewer behavioral problems (school-academic, antisocial behavior, shyness-withdrawal, psychopathological, psychosomatic), high social adaptation, high self-concept/self-esteem, many cooperative behaviors, many appropriate social skills, and few negative social skills (inappropriate assertiveness, impulsiveness, jealousy-withdrawal). Multiple regression analysis identified five variables predicting happiness: high self-concept, few symptoms of depression, many cooperative behaviors, high self-esteem, and low psychoticism. Results showed a partial mediational effect of self-esteem in the relation between happiness and psychopathological symptoms. The discussion focuses on the importance of implementing programs to promote feelings of happiness, as well as protective factors for health (self

  3. Computational Approach for Securing Radiology-Diagnostic Data in Connected Health Network using High-Performance GPU-Accelerated AES.

    Science.gov (United States)

    Adeshina, A M; Hashim, R

    2017-03-01

    Diagnostic radiology is a core and integral part of modern medicine, paving ways for the primary care physicians in the disease diagnoses, treatments and therapy managements. Obviously, all recent standard healthcare procedures have immensely benefitted from the contemporary information technology revolutions, apparently revolutionizing those approaches to acquiring, storing and sharing of diagnostic data for efficient and timely diagnosis of diseases. Connected health network was introduced as an alternative to the ageing traditional concept in healthcare system, improving hospital-physician connectivity and clinical collaborations. Undoubtedly, the modern medicinal approach has drastically improved healthcare but at the expense of high computational cost and possible breach of diagnosis privacy. Consequently, a number of cryptographical techniques are recently being applied to clinical applications, but the challenges of not being able to successfully encrypt both the image and the textual data persist. Furthermore, processing time of encryption-decryption of medical datasets, within a considerable lower computational cost without jeopardizing the required security strength of the encryption algorithm, still remains as an outstanding issue. This study proposes a secured radiology-diagnostic data framework for connected health network using high-performance GPU-accelerated Advanced Encryption Standard. The study was evaluated with radiology image datasets consisting of brain MR and CT datasets obtained from the department of Surgery, University of North Carolina, USA, and the Swedish National Infrastructure for Computing. Sample patients' notes from the University of North Carolina, School of medicine at Chapel Hill were also used to evaluate the framework for its strength in encrypting-decrypting textual data in the form of medical report. Significantly, the framework is not only able to accurately encrypt and decrypt medical image datasets, but it also

  4. The connecting health and technology study: a 6-month randomized controlled trial to improve nutrition behaviours using a mobile food record and text messaging support in young adults

    OpenAIRE

    Kerr, Deborah A.; Harray, Amelia J.; Pollard, Christina M.; Dhaliwal, Satvinder S.; Delp, Edward J.; Howat, Peter A.; Pickering, Mark R.; Ahmad, Ziad; Meng, Xingqiong; Pratt, Iain S.; Wright, Janine L.; Kerr, Katherine R.; Boushey, Carol J.

    2016-01-01

    Background Early adulthood represents the transition to independent living which is a period when changes in diet and body weight are likely to occur. This presents an ideal time for health interventions to reduce the effect of health problems and risk factors for chronic disease in later life. As young adults are high users of mobile devices, interventions that use this technology may improve engagement. The Connecting Health and Technology study aimed to evaluate the effectiveness of tailor...

  5. New media use by patients who are homeless: the potential of mHealth to build connectivity.

    Science.gov (United States)

    Post, Lori Ann; Vaca, Federico E; Doran, Kelly M; Luco, Cali; Naftilan, Matthew; Dziura, James; Brandt, Cynthia; Bernstein, Steven; Jagminas, Liudvikas; D'Onofrio, Gail

    2013-09-03

    Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. To determine the prevalence and types of "new media" use among ED patients who experience homelessness. This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios. 70.7% (176/249) of patients experiencing homelessness own cell phones compared to 85.90% (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70% (53/76) versus 43.89% (1064/2424), and the latter more likely to have iPhones, 44.55% (1080/2424) versus 17% (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02% (2380/4758) of stably housed patients having unlimited minutes versus 37.5% (66/176) of homeless patients. 19.78% (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0% (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation. This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care.

  6. Use of the NASA Giovanni Data System for Geospatial Public Health Research: Example of Weather-Influenza Connection

    Science.gov (United States)

    Acker, James G.; Soebiyanto, Radina; Kiang, Richard; Kempler, Steve

    2014-01-01

    The NASA Giovanni data analysis system has been recognized as a useful tool to access and analyze many different types of remote sensing data. The variety of environmental data types has allowed the use of Giovanni for different application areas, such as agriculture, hydrology, and air quality research. The use of Giovanni for researching connections between public health issues and Earths environment and climate, potentially exacerbated by anthropogenic influence, has been increasingly demonstrated. In this communication, the pertinence of several different data parameters to public health will be described. This communication also provides a case study of the use of remote sensing data from Giovanni in assessing the associations between seasonal influenza and meteorological parameters. In this study, logistic regression was employed with precipitation, temperature and specific humidity as predictors. Specific humidity was found to be associated (p 0.05) with influenza activity in both temperate and tropical climate. In the two temperate locations studied, specific humidity was negatively correlated with influenza; conversely, in the three tropical locations, specific humidity was positively correlated with influenza. Influenza prediction using the regression models showed good agreement with the observed data (correlation coefficient of 0.50.83).

  7. Estimation of risk to health of the population of mining territories of bashkortostan connected with quality of drinking water supply

    Directory of Open Access Journals (Sweden)

    R.A. Suleimanov

    2016-12-01

    Full Text Available The ecology-hygienic problems connected with quality of drinking water supply of the settlements, located on territories with the developed mining industry are considered in this article. Poor quality of drinking water represents risk to health of the population and, according to the WHO’s data, it provides the risk of occurrence of those or other diseases on 7 %. The mining enterprises are significant sources of pollution of objects of environment, including underground water horizons as their activity is interfaced to formation of great volumes of the waste containing zinc, copper, arsenic, lead, manganese, cadmium, mercury, chrome, etc. Morbidity of the population living in regions with the developed mining industry, is raised on the number of classes of illnesses and separate nosologies (illnesses of cardiocirculatory system, urinogenital system, organs of digestion, etc.. The purpose of this research was carrying out of an estimation of quality of sources of drinking water supply and definition of an existing risk level to health of the population of mining territories with the subsequent development of hygienic recommendations and actions on optimization of conditions of water use. Hygienic researches are lead in settlements of mining territories of Republic Bashkortostan. Thirty settlements with the population of more than 200 thousand people were included into this research. The special attention was given to non-centralized sources of water supply (chinks, wells, springs of mining territories used by inhabitants for the domestic and drinking purposes. It is established, that the qualitative structure of drinking water of investigated territories is characterized by the raised rigidity, the high concentration of iron, nitrates, chrome, cadmium. In separate territories of investigated region the unacceptable level of total olfactory risk, connected with the high concentration of iron and the raised rigidity of drinking water was

  8. Hydrologic assessment of the shallow groundwater flow system beneath the Shinnecock Nation tribal lands, Suffolk County, New York

    Science.gov (United States)

    Noll, Michael L.; Rivera, Simonette L.; Busciolano, Ronald J.

    2016-12-02

    Defining the distribution and flow of shallow groundwater beneath the Shinnecock Nation tribal lands in Suffolk County, New York, is a crucial first step in identifying sources of potential contamination to the surficial aquifer and coastal ecosystems. The surficial or water table aquifer beneath the tribal lands is the primary source of potable water supply for at least 6 percent of the households on the tribal lands. Oyster fisheries and other marine ecosystems are critical to the livelihood of many residents living on the tribal lands, but are susceptible to contamination from groundwater entering the embayment from the surficial aquifer. Contamination of the surficial aquifer from flooding during intense coastal storms, nutrient loading from fertilizers, and septic effluent have been identified as potential sources of human and ecological health concerns on tribal lands.The U.S. Geological Survey (USGS) facilitated the installation of 17 water table wells on and adjacent to the tribal lands during March 2014. These wells were combined with other existing wells to create a 32-well water table monitoring network that was used to assess local hydrologic conditions. Survey-grade, global-navigation-satellite systems provided centimeter-level accuracy for positioning wellhead surveys. Water levels were measured by the USGS during May (spring) and November (fall) 2014 to evaluate seasonal effects on the water table. Water level measurements were made at high and low tide during May 2014 to identify potential effects on the water table caused by changes in tidal stage (tidal flux) in Shinnecock Bay. Water level contour maps indicate that the surficial aquifer is recharged by precipitation and upgradient groundwater flow that moves from the recharge zone located generally beneath Sunrise Highway, to the discharge zone beneath the tribal lands, and eventually discharges into the embayment, tidal creeks, and estuaries that bound the tribal lands to the east, south, and

  9. Nutritional status of tribal preschool children in three ecological zones of Madhya Pradesh.

    Science.gov (United States)

    Rao, D H; Rao, K M; Radhaiah, G; Rao, N P

    1994-06-01

    A health and nutrition survey was conducted on tribals in three ecological zones of Madhya Pradesh namely Jhabua (West Zone), Bastar (South Zone) and Sarguja (East Zone) taking into consideration the relative contribution of agriculture, forest and a combination of both to the economy, respectively. The consumption of both foods and nutrients appear to be worse among preschool children of Jhabua compared to Bastar and Sarguja. Clinically overt forms of Protein Energy Malnutrition and other vitamin deficiency signs were strikingly low. However, 4% of children in Sarguja exhibited signs of goitre. Both by extent and severity of malnutrition, the children of Jhabua appear to be worse followed by Bastar and Sarguja.

  10. Can rights stop the wrongs? Exploring the connections between framings of sex workers’ rights and sexual and reproductive health

    Science.gov (United States)

    2011-01-01

    Background There is growing interest in the ways in which legal and human rights issues related to sex work affect sex workers’ vulnerability to HIV and abuses including human trafficking and sexual exploitation. International agencies, such as UNAIDS, have called for decriminalisation of sex work because the delivery of sexual and reproductive health services is affected by criminalisation and social exclusion as experienced by sex workers. The paper reflects on the connections in various actors’ framings between sex workers sexual and reproductive health and rights (SRHR) and the ways that international law is interpreted in policing and regulatory practices. Methods The literature review that informs this paper was carried out by the authors in the course of their work within the Paulo Longo Research Initiative. The review covered academic and grey literature such as resources generated by sex worker rights activists, UN policy positions and print and online media. The argument in this paper has been developed reflectively through long term involvement with key actors in the field of sex workers’ rights. Results International legislation characterises sex work in various ways which do not always accord with moves toward decriminalisation. Law, policy and regulation at national level and law enforcement vary between settings. The demands of sex worker rights activists do relate to sexual and reproductive health but they place greater emphasis on efforts to remove the structural barriers that limit sex workers’ ability to participate in society on an equal footing with other citizens. Discussion and conclusion There is a tension between those who wish to uphold the rights of sex workers in order to reduce vulnerability to ill-health and those who insist that sex work is itself a violation of rights. This is reflected in contemporary narratives about sex workers’ rights and the ways in which different actors interpret human rights law. The creation of

  11. Can rights stop the wrongs? Exploring the connections between framings of sex workers' rights and sexual and reproductive health.

    Science.gov (United States)

    Overs, Cheryl; Hawkins, Kate

    2011-12-16

    There is growing interest in the ways in which legal and human rights issues related to sex work affect sex workers' vulnerability to HIV and abuses including human trafficking and sexual exploitation. International agencies, such as UNAIDS, have called for decriminalisation of sex work because the delivery of sexual and reproductive health services is affected by criminalisation and social exclusion as experienced by sex workers. The paper reflects on the connections in various actors' framings between sex workers sexual and reproductive health and rights (SRHR) and the ways that international law is interpreted in policing and regulatory practices. The literature review that informs this paper was carried out by the authors in the course of their work within the Paulo Longo Research Initiative. The review covered academic and grey literature such as resources generated by sex worker rights activists, UN policy positions and print and online media. The argument in this paper has been developed reflectively through long term involvement with key actors in the field of sex workers' rights. International legislation characterises sex work in various ways which do not always accord with moves toward decriminalisation. Law, policy and regulation at national level and law enforcement vary between settings. The demands of sex worker rights activists do relate to sexual and reproductive health but they place greater emphasis on efforts to remove the structural barriers that limit sex workers' ability to participate in society on an equal footing with other citizens. There is a tension between those who wish to uphold the rights of sex workers in order to reduce vulnerability to ill-health and those who insist that sex work is itself a violation of rights. This is reflected in contemporary narratives about sex workers' rights and the ways in which different actors interpret human rights law. The creation of regulatory frameworks around sex work that support health, safety

  12. Can rights stop the wrongs? Exploring the connections between framings of sex workers’ rights and sexual and reproductive health

    Directory of Open Access Journals (Sweden)

    Overs Cheryl

    2011-12-01

    Full Text Available Abstract Background There is growing interest in the ways in which legal and human rights issues related to sex work affect sex workers’ vulnerability to HIV and abuses including human trafficking and sexual exploitation. International agencies, such as UNAIDS, have called for decriminalisation of sex work because the delivery of sexual and reproductive health services is affected by criminalisation and social exclusion as experienced by sex workers. The paper reflects on the connections in various actors’ framings between sex workers sexual and reproductive health and rights (SRHR and the ways that international law is interpreted in policing and regulatory practices. Methods The literature review that informs this paper was carried out by the authors in the course of their work within the Paulo Longo Research Initiative. The review covered academic and grey literature such as resources generated by sex worker rights activists, UN policy positions and print and online media. The argument in this paper has been developed reflectively through long term involvement with key actors in the field of sex workers’ rights. Results International legislation characterises sex work in various ways which do not always accord with moves toward decriminalisation. Law, policy and regulation at national level and law enforcement vary between settings. The demands of sex worker rights activists do relate to sexual and reproductive health but they place greater emphasis on efforts to remove the structural barriers that limit sex workers’ ability to participate in society on an equal footing with other citizens. Discussion and conclusion There is a tension between those who wish to uphold the rights of sex workers in order to reduce vulnerability to ill-health and those who insist that sex work is itself a violation of rights. This is reflected in contemporary narratives about sex workers’ rights and the ways in which different actors interpret human

  13. Evaluation of an interprofessional education program for advanced practice nursing and dental students: The oral-systemic health connection.

    Science.gov (United States)

    Nash, Whitney A; Hall, Lynne A; Lee Ridner, S; Hayden, Dedra; Mayfield, Theresa; Firriolo, John; Hupp, Wendy; Weathers, Chandra; Crawford, Timothy N

    2018-03-27

    In response to the growing body of evidence supporting the need for expanded interprofessional education among health professions, an interprofessional education program, based on the Interprofessional Education Collaborative Core Competencies, was piloted with nurse practitioner and dental students. The purpose of this pilot study was to evaluate a technology enhanced interprofessional education program focused on the oral-systemic health connection for nurse practitioner and dental students. A two-group comparative study using cross-sectional data and a quasi-experimental one-group pre-test/post-test design were used to evaluate students' knowledge of IPE core competencies, attitudes toward interprofessional education and interdisciplinary teamwork, and self-efficacy in functioning as a member of an interdisciplinary team. This program was implemented with master of science in nursing students pursuing a primary care nurse practitioner (NP) degree and dental students at a large urban academic health sciences center. Cohort 1 (N = 75) consisted of NP (n = 34) and dental students (n = 41) at the end of their degree program who participated in a one-time survey. Cohort 2 (N = 116) was comprised of second-year NP students (n = 22) and first-year dental students (n = 94) who participated in the IPE program. Students participated in a multi-faceted educational program consisting of technology- enhanced delivery as well as interactive exercises in the joint health assessment course. Data were collected prior to the initiation and at the conclusion of the program. Nurse practitioner and dental students who participated in the program had better self-efficacy in functioning as a member of an interdisciplinary team than graduating students who did not participate. Students from both nursing and dentistry who participated in the program had significantly improved self-efficacy in functioning in interprofessional teams from pre- to post-test. An

  14. Spokane Tribal Hatchery, 2005 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Peone, Tim L. (Spokane Tribe of Indians, Wellpinit, WA)

    2006-03-01

    Due to the construction and operation of Grand Coulee Dam (1939), anadromous salmon have been eradicated and resident fish populations permanently altered in the upper Columbia River region. Federal and private hydropower dam operations throughout the Columbia River system severely limits indigenous fish populations in the upper Columbia. Artificial production has been determined appropriate for supporting harvestable fisheries for kokanee salmon (Oncorhynchus nerka) and rainbow trout (Oncorhynchus mykiss) in Lake Roosevelt and Banks Lake (Grand Coulee Dam impoundments). The Spokane Tribe, Washington Department of Fish and Wildlife, Colville Confederated Tribes and Lake Roosevelt Development Association/Lake Roosevelt Volunteer Net Pen Project are cooperating in a comprehensive artificial production program to produce kokanee salmon (Oncorhynchus nerka) and rainbow trout (Oncorhynchus mykiss) for annual releases into the project area. The program consists of the Spokane Tribal Hatchery, Sherman Creek Hatchery, Ford Trout Hatchery and Lake Roosevelt Rainbow Trout Net Pen Rearing Projects. The Lake Roosevelt and Banks Lake Fisheries Evaluation Program monitor and evaluates release strategies and production methods for the aforementioned projects. Between 1985 and 2005 the projects have collectively produced up to 800,000 rainbow trout and 4 million kokanee salmon for release into Lake Roosevelt and 1.4 million kokanee fry for Banks Lake annually. In 2005, the annual release goal included 3.3 million kokanee fry, 475,000 kokanee yearlings and 500,000 rainbow trout yearlings. Fish produced by this project in 2005 to meet collective fish production and release goals included: 3,446,438 kokanee fingerlings, 347,730 rainbow trout fingerlings and 525,721 kokanee yearlings. Kokanee yearlings were adipose fin clipped before release. Stock composition consisted of Meadow Creek and Lake Whatcom kokanee, diploid-triploid Spokane Trout Hatchery (McCloud River) rainbow trout and

  15. The Tribal Perspective of Old Growth in Frequent-fire Forests - Its History

    Directory of Open Access Journals (Sweden)

    Victoria Yazzie

    2007-12-01

    Full Text Available Anyone who has not lived in "Indian country" cannot understand just how extensively the United States government and its laws affect Native Americans and their natural resource management. These effects are sobering, and touch upon sensitive issues that all Native Americans hold within us. In this article, I outline the historic cycle of tribal entities, and characterize today's tribal self-determination in forest management. I provide an historical account from the "colonial" period and its use of the Doctrine of Discovery to the relations between the United States government and Native Americans from the 18th through the 20th centuries, during which time Native Americans struggled to establish their legal status as tribes, and solidify their land base to sustain and conserve culturally important lands, including areas of old-growth forests, to the current self-determination and self-governance potential of Indian tribes. More importantly, I discuss the cultural connectivity that Native Americans have to the land, and address the unique inherent right of tribes to integrate this cultural view into current forest management, including the protection of old-growth forests, on their reservations.

  16. 77 FR 14465 - Public Transportation on Indian Reservations Program; Tribal Transit Program

    Science.gov (United States)

    2012-03-09

    ... DEPARTMENT OF TRANSPORTATION Federal Transit Administration Public Transportation on Indian... in funding provided by the Public Transportation on Indian Reservations Program (Tribal Transit... establishing the Public Transportation on Indian Reservations Program (Tribal Transit Program or TTP). This...

  17. 76 FR 27859 - 8(a) Business Development Program Regulation Changes; Tribal Consultation

    Science.gov (United States)

    2011-05-13

    ... the same tribe, ANC, NHO or CDC will submit identical data describing the benefits provided by the tribe, ANC, NHO or CDC. II. Tribal Consultation Meetings The purpose of these tribal consultation...

  18. 75 FR 80082 - State, Local, Tribal, and Private Sector Policy Advisory Committee

    Science.gov (United States)

    2010-12-21

    ... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION State, Local, Tribal, and Private Sector Policy Advisory Committee AGENCY: National Archives and Records Administration. ACTION: Notice of Establishment of... that the establishment of the State, Local, Tribal, and Private Sector Policy Advisory Committee is...

  19. Tribal Science 2017 Webinar Series: Harmful Algal Blooms (HABs): Research, Collaborations, and Other Activities

    Science.gov (United States)

    The Tribal Science Webinar Series provides a forum for discussion of the complex environmental issues facing many tribal and indigenous communities, and features a wide variety of expert guest speakers from government,.....

  20. Memorandum of Understanding Regarding Interagency Coordination and Collaboration for the Protection of Tribal Treaty Rights

    Science.gov (United States)

    Interagency Memorandum of Understanding (MOU) affirming protection of tribal treaty rights and similar tribal rights relating to natural resources when federal action is taken. It will be updated as additional federal agencies become signatories.

  1. Washoe Tribe Nevada Inter-Tribal Energy Consortium Energy Organization Enhancement Project Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Jennifer [Washoe Tribe of NV and Ca

    2014-11-06

    The Washoe Tribe of Nevada and California was awarded funding from the Department of Energy to complete the Nevada Inter-Tribal Energy Consortium Energy Organization Enhancement Project. The main goal of the project was to enhance the capacity of the Nevada Inter-Tribal Energy Consortium (NITEC) to effectively assist tribes within Nevada to technically manage tribal energy resources and implement tribal energy projects.

  2. Microbial Fuel Cell Possibilities on American Indian Tribal Lands

    Energy Technology Data Exchange (ETDEWEB)

    Cameron, Kimberlynn [South Dakota School of Mines and Technology, Rapid City, SD (United States)

    2016-10-01

    The purpose of this paper is to present a brief background of tribal reservations, the process of how Microbial Fuel Cells (MFCs) work, and the potential benefits of using MFCs on tribal reservations to convert waste water to energy as a means to sustainably generate electricity. There have been no known studies conducted on tribal lands that would be able to add to the estimated percentage of all renewable energy resources identified. Not only does MFC technology provide a compelling, innovative solution, it could also address better management of wastewater, using it as a form of energy generation. Using wastewater for clean energy generation could provide a viable addition to community infrastructure systems improvements.

  3. Historical review: Does falciparum malaria destroy isolated tribal populations?

    Science.gov (United States)

    Shanks, G Dennis

    Many isolated populations of tribal peoples were nearly destroyed when they first contacted infectious diseases particularly respiratory pathogens such as measles and smallpox. Surviving groups have often been found to have declining populations in the face of multiple social and infectious threats. Malaria, especially Plasmodium falciparum, was thought to be a major cause of depopulation in some tribal peoples isolated in tropical jungles. The dynamics of such host parasite interactions is unclear especially since most such populations would have had long histories of exposure to malaria. Three groups are individually reviewed: Meruts of Borneo, Yanomami of Amazonia, Jarawas of the Andaman Islands. The purpose of this review is to examine the role of falciparum malaria in the depopulation of some isolated tribal groups in order to understand what measures, if any, would be likely to prevent such losses. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Final Report for the Soboba Strategic Tribal Energy Planning Project

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Kim [EPA Specialist

    2013-09-17

    In 2011 the Tribe was awarded funds from the Department of Energy to formulate the Soboba Strategic Tribal Energy Plan. This will be a guiding document used throughout the planning of projects focused on energy reduction on the Reservation. The Soboba Strategic Tribal Energy Plan's goal is to create a Five Year Energy Plan for the Soboba Band of Luiseno Indians in San Jacinto, California. This plan will guide the decision making process towards consistent progress leading to the Tribal goal of a 25% reduction in energy consumption in the next five years. It will additionally outline energy usage/patterns and will edentify areas the Tribe can decrease energy use and increase efficiency. The report documents activities undertaken under the grant, as well as incldues the Tribe's strategif energy plan.

  5. Development of a web database portfolio system with PACS connectivity for undergraduate health education and continuing professional development.

    Science.gov (United States)

    Ng, Curtise K C; White, Peter; McKay, Janice C

    2009-04-01

    Increasingly, the use of web database portfolio systems is noted in medical and health education, and for continuing professional development (CPD). However, the functions of existing systems are not always aligned with the corresponding pedagogy and hence reflection is often lost. This paper presents the development of a tailored web database portfolio system with Picture Archiving and Communication System (PACS) connectivity, which is based on the portfolio pedagogy. Following a pre-determined portfolio framework, a system model with the components of web, database and mail servers, server side scripts, and a Query/Retrieve (Q/R) broker for conversion between Hypertext Transfer Protocol (HTTP) requests and Q/R service class of Digital Imaging and Communication in Medicine (DICOM) standard, is proposed. The system was piloted with seventy-seven volunteers. A tailored web database portfolio system (http://radep.hti.polyu.edu.hk) was developed. Technological arrangements for reinforcing portfolio pedagogy include popup windows (reminders) with guidelines and probing questions of 'collect', 'select' and 'reflect' on evidence of development/experience, limitation in the number of files (evidence) to be uploaded, the 'Evidence Insertion' functionality to link the individual uploaded artifacts with reflective writing, capability to accommodate diversity of contents and convenient interfaces for reviewing portfolios and communication. Evidence to date suggests the system supports users to build their portfolios with sound hypertext reflection under a facilitator's guidance, and with reviewers to monitor students' progress providing feedback and comments online in a programme-wide situation.

  6. 25 CFR 1000.14 - Who is eligible to participate in Tribal self-governance?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Who is eligible to participate in Tribal self-governance...-DETERMINATION AND EDUCATION ACT Selection of Additional Tribes for Participation in Tribal Self-Governance Eligibility § 1000.14 Who is eligible to participate in Tribal self-governance? Two types of entities are...

  7. Tribal wilderness research needs and issues in the United States and Canada

    Science.gov (United States)

    Dan McDonald; Tom McDonald; Leo H. McAvoy

    2000-01-01

    This paper represents a dialogue between tribal wilderness managers and researchers on the primary research needs of tribal wilderness in the United States and Canada. The authors identify a number of research priorities for tribal wildlands. The paper also discusses some major issues and challenges faced by researchers conducting research in areas that are culturally...

  8. 25 CFR 170.148 - What is a tribal transit program?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is a tribal transit program? 170.148 Section 170.148... PROGRAM Indian Reservation Roads Program Policy and Eligibility Transit Facilities § 170.148 What is a tribal transit program? A tribal transit program is the planning, administration, acquisition, and...

  9. In the Service of Others: How Volunteering Is Integral to the Tribal College Experience

    Science.gov (United States)

    Talahongva, Patty

    2016-01-01

    Today, the spirit of volunteering is very much alive at every tribal college and university (TCU). From fundraisers for food pantries to educational activities that help fellow students, TCUs help forge reciprocity among students and staff. Volunteerism is integral to the tribal college experience. Volunteerism at three tribal colleges--Cankdeska…

  10. 23 CFR 661.55 - How are BIA and Tribal owned IRR bridges inspected?

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false How are BIA and Tribal owned IRR bridges inspected? 661... AND TRAFFIC OPERATIONS INDIAN RESERVATION ROAD BRIDGE PROGRAM § 661.55 How are BIA and Tribal owned IRR bridges inspected? BIA and Tribally owned IRR bridges are inspected in accordance with 25 CFR part...

  11. 43 CFR 30.268 - May I demand a hearing regarding the tribal purchase option decision?

    Science.gov (United States)

    2010-10-01

    ... tribal purchase option decision? 30.268 Section 30.268 Public Lands: Interior Office of the Secretary of the Interior INDIAN PROBATE HEARINGS PROCEDURES Tribal Purchase of Interests Under Special Statutes § 30.268 May I demand a hearing regarding the tribal purchase option decision? Yes. You may file with...

  12. 25 CFR 115.807 - Will OTFM consult with tribes about investments of tribal trust funds?

    Science.gov (United States)

    2010-04-01

    ... Tribal Trust Funds § 115.807 Will OTFM consult with tribes about investments of tribal trust funds? Upon... 25 Indians 1 2010-04-01 2010-04-01 false Will OTFM consult with tribes about investments of tribal trust funds? 115.807 Section 115.807 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR...

  13. 76 FR 80971 - State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC)

    Science.gov (United States)

    2011-12-27

    ..., Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC) AGENCY: National Archives and Records... made for the committee meeting of the State, Local, Tribal, and Private Sector Policy Advisory..., Local, Tribal, and Private Sector Entities. DATES: The meeting will be held on January 18, 2012, 10 a.m...

  14. 77 FR 41204 - State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC)

    Science.gov (United States)

    2012-07-12

    ..., Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC) AGENCY: Information Security Oversight..., announcement is made for the committee meeting of the State, Local, Tribal, and Private Sector Policy Advisory..., Local, Tribal, and Private Sector Entities. DATES: The meeting will be held on July 25, 2012, 10:00 a.m...

  15. 77 FR 76076 - Information Security Oversight Office; State, Local, Tribal, and Private Sector Policy Advisory...

    Science.gov (United States)

    2012-12-26

    ..., Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC) AGENCY: National Archives and Records... made for the committee meeting of the State, Local, Tribal, and Private Sector Policy Advisory..., Local, Tribal, and Private Sector Entities. DATES: The meeting will be held on January 30, 2013, 10:00 a...

  16. 78 FR 75376 - State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTP-PAC)

    Science.gov (United States)

    2013-12-11

    ...] State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTP-PAC) AGENCY: National Archives... (NARA) announces a meeting of the State, Local, Tribal, and Private Sector Policy Advisory Committee... Information Program for State, Local, Tribal, and Private Sector Entities. The meeting will be open to the...

  17. 75 FR 80082 - State, Local, Tribal, And Private Sector Policy Advisory Committee (SLTPS-PAC)

    Science.gov (United States)

    2010-12-21

    ..., Tribal, And Private Sector Policy Advisory Committee (SLTPS-PAC) AGENCY: Information Security Oversight... State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC). The SLTPS-PAC will..., Tribal, and Private Sector Entities, as specified in Executive Order 13549 and its implementing directive...

  18. 76 FR 38655 - Office for State, Tribal, Local, and Territorial Support

    Science.gov (United States)

    2011-07-01

    ... consultation is integral to a deliberative process that results in effective collaboration and informed..., November 6, 2000, and the Presidential Memorandum of November 5, 2009 and September 23, 2004, Consultation... Tribal Consultation Session: Name: Tribal Advisory Committee (TAC) Meeting and 7th Biannual Tribal...

  19. 25 CFR 170.917 - Can tribes receive direct payment of tribal employment taxes or fees?

    Science.gov (United States)

    2010-04-01

    ... Preference § 170.917 Can tribes receive direct payment of tribal employment taxes or fees? This section... payment schedule. Tribes may consider requesting direct payment of tribal employment taxes or fees from... 25 Indians 1 2010-04-01 2010-04-01 false Can tribes receive direct payment of tribal employment...

  20. The power of social connection and support in improving health: lessons from social support interventions with childbearing women

    Directory of Open Access Journals (Sweden)

    Small Rhonda

    2011-11-01

    Full Text Available Abstract Background and objective Social support interventions have a somewhat chequered history. Despite evidence that social connection is associated with good health, efforts to implement interventions designed to increase social support have produced mixed results. The aim of this paper is to reflect on the relationship between social connectedness and good health, by examining social support interventions with mothers of young children and analysing how support was conceptualised, enacted and valued, in order to advance what we know about providing support to improve health. Context and approach First, we provide a brief recent history of social support interventions for mothers with young children and we critically examine what was intended by ‘social support’, who provided it and for which groups of mothers, how support was enacted and what was valued by women. Second, we examine the challenges and promise of lay social support approaches focused explicitly on companionship, and draw on experiences in two cluster randomised trials which aimed to improve the wellbeing of mothers. One trial involved a universal approach, providing befriending opportunities for all mothers in the first year after birth, and the other a targeted approach offering support from a ‘mentor mother’ to childbearing women experiencing intimate partner violence. Results Interventions providing social support to mothers have most often been directed to women seen as disadvantaged, or ‘at risk’. They have also most often been enacted by health professionals and have included strong elements of health education and/or information, almost always with a focus on improving parenting skills for better child health outcomes. Fewer have involved non-professional ‘supporters’, and only some have aimed explicitly to provide companionship or a listening ear, despite these aspects being what mothers receiving support have said they valued most. Our trial

  1. Renewable Energy Development on Tribal Lamds of Viejas

    Energy Technology Data Exchange (ETDEWEB)

    Terrence Meyer (Black & Veatch); Mike Elenbaas (Black & Veatch)

    2005-09-30

    The purpose of this study is to investigate the feasibility of Renewable Energy Development on the lands of the Viejas Band of the Kumeyaay Indian Nation. In addition, the study will investigate the feasibility of forming a renewable energy based tribal utility. Viejas contracted with Black & Veatch and Fredericks, Pelcyger & Hester, LLC to assist in the development of a feasibility study to ascertain the economics and operational factors of forming an electric and water utility. This report is the result of the investigation conducted by Black & Veatch, with input from Viejas Tribal Government.

  2. La Politique coloniale française et les Ahl Shaykh Ma al-cAynin. Jihad et resistances tribales

    Directory of Open Access Journals (Sweden)

    Pierre Bonte

    2011-07-01

    Full Text Available El destino de Ahl Shaykh Mâ al-cAynîn está conectado a la resistencia contra la colonización europea en el Sahara y Marruecos. La literatura colonial francesa ha concebido la lucha del Sheij como consecuencia de un panislamismo activista. El contexto tribal regional lleva al Sheij a oponerse a la colonización francesa en Mauritania y Marruecos cuestionándose la legitimidad dinástica alawi. El desarrollo de la yihad concluyó con el nombramiento del sultán de Marruecos. Se subraya las contradicciones de un proyecto político basado en el guerrero tlamid del Sheij y las movilizaciones tribales contra el orden colonial. The fate of the Ahl Shaykh Mâ al-cAynîn is connected to the resistance against the European colonization in Sahara and Morocco. The french colonial literature has conceived the Shaykh’s fight as a consequence of an activistic panislamism. As a matter of fact it is located in a tribal regional context leading the Shaykh to be opposed to the French colonization in Mauritania and Morocco and to question finally the calawi dynastic legitimacy. The development of the jihad concluded in the name of the Moroccan Sultan underlines the contradictions of a political project depending on the warrior tlamid of the Shaykh and tribal mobilizations against the colonial order. The check of the jihad reduces the family’s part in the organization of the resistance; after 1920 this part becomes a secondary one.

  3. Delitto d’onore, ordine tribale e Stato - Honour crimes, tribal order and the State

    Directory of Open Access Journals (Sweden)

    Ariane Baghaï

    2012-06-01

    Full Text Available Globalization does not only mean that the Western world is pervading the non-Western world but also that the non-Western world, through migration processes, moves and settles in the Western world. The impressive number of honor crimes committed every year in the Western world suggests that a different social political order is acting on the Western stage. Honor crimes are committed in Muslim communities that have their roots in those parts of the Muslim world which have tribal societies on their territories, i.e. tribal institutions and laws which interact with or ignore State law. This is a political order which is stateless and based on blood ties – the author calls it an “ematocracy” – and it is perfectly able to survive within the different shapes taken by the State – when there is the State – but also without the State when it is considered as unreliable or when, for some reasons, it collapses. The author argues that political order based on blood ties is considered as reliable by the social actors since it is permanent and in expansion: blood ties reproduce themselves as long as there is life. And women – as protagonists of reproduction processes – are unfortunately at the heart of the conflict between State laws and customary law both in their home countries and in their new homes. Through an analysis of the intertwinement between State law and customary law, in some of the home countries of the migrants, and between shariya and customary law in the classical doctrine, the author shows how this process of ordering the world carries on its political projects in the post-global context.

  4. Spokane Tribal Hatchery, 2004 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Peone, Tim L. (Spokane Tribe of Indians, Wellpinit, WA)

    2005-03-01

    Due to the construction and operation of Grand Coulee Dam (1939), anadromous salmon have been eradicated and resident fish populations permanently altered in the upper Columbia River region. Federal and private hydropower dam operations throughout the Columbia River system severely limits indigenous fish populations in the upper Columbia. Artificial production has been determined appropriate for supporting a harvestable fishery for kokanee salmon (Oncorhynchus nerka) and rainbow trout (Oncorhynchus mykiss) in Lake Roosevelt and Banks Lake (Grand Coulee Dam impoundments). A collaborative multi-agency artificial production program for the Lake Roosevelt and Banks Lake fisheries exists consisting of the Spokane Tribal Hatchery, Sherman Creek Hatchery, Ford Trout Hatchery and the Lake Roosevelt Kokanee and Rainbow Trout Net Pen Rearing Projects. These projects operate complementary of one another to target an annual release of 1 million yearling kokanee and 500,000 yearling rainbow trout for Lake Roosevelt and 1.4 million kokanee fry/fingerlings for Banks Lake. Fish produced by this project in 2004 to meet collective fish production and release goals included: 1,655,722 kokanee fingerlings, 537,783 rainbow trout fingerlings and 507,660 kokanee yearlings. Kokanee yearlings were adipose fin clipped before release. Stock composition consisted of Lake Whatcom kokanee, 50:50 diploid-triploid Spokane Trout Hatchery (McCloud River) rainbow trout and Phalon Lake red-band rainbow trout. All kokanee were marked with either thermal, oxytetracyline or fin clips prior to release. Preliminary 2004 Lake Roosevelt fisheries investigations indicate hatchery/net pen stocking significantly contributed to harvestable rainbow trout and kokanee salmon fisheries. An increase in kokanee harvest was primarily owing to new release strategies. Walleye predation, early maturity and entrainment through Grand Coulee Dam continues to have a negative impact on adult kokanee returns and limits the

  5. BUILDING TRIBAL CAPABILITIES IN ENERGY AND ENVIRONMENTAL MANAGEMENT

    Energy Technology Data Exchange (ETDEWEB)

    Unknown

    2000-03-01

    The following activities were completed by the end of the quarter: (1) The CERT Executive Director invited a cross section of CERT member Tribes to participate in the project. By the end of the quarter, three Tribes had the invitation under active consideration, four Tribes expressed interest but wanted to see the detailed workplan prior to making a final decision and one Tribe, the Navajo Nation has accepted the invitation. (2) The CERT Board of Directors Executive Committee has endorsed two significant environmental policy priorities for consideration in the project. First, how does the federal Indian trust responsibility to land and natural resources as well as for the health, safety and political integrity of Indian Tribes affect the federal responsibility for facility cleanup and other statutory mandates under federal environmental statutes? And second, What are the protocols of government-to-government relations within a federal system of shared sovereignty and shared governmental responsibilities? And the corollaries to that question, What is the federal obligation for consultation with Tribes and how is that different and similar to consultation with states? And, What is the federal obligation to work cooperatively with Tribes and states in recognition of the three sovereigns of the American federal system? (3) The CERT consulted with political leaders and environmental staff of member and non-member Tribes. This consultation centered on three environmental policy priorities: issues concerning the intergovernmental interface between states, Tribes and federal government agencies and programs; Issues with the cleanup of federal facilities and activities that have damaged Tribal environmental resources; and issues concerning the DOE cleanup of federal facilities used in the production of nuclear weapons.

  6. A comparative study on self-esteem among tribal and non-tribal students in Udupi Taluk, Karnataka, India

    OpenAIRE

    Uday Narayan Yadav; Shradha Parsekar; Vidya Prabhu; Divya Sussan Patil; Sumit Kumar; Mannat Mohan Singh; Ravikant Singh; Poshan Thapa

    2013-01-01

    Self esteem is defined as the positive or negative attitude about self, the degree of liking or satisfaction within self, and owns feeling of perceived worth as compared with others. Healthy self-esteem is important to be successful and happy throughout one’s life. The aim of this study was to compare the self esteem among tribal and non-tribal student in Udupi Taluk. A descriptive cross sectional study was conducted in November 2012 in government school of Brahmavar, Udupi Taluk. Study parti...

  7. Rural epidemiology of HIV positive tribal patients from Chhattisgarh in India

    Directory of Open Access Journals (Sweden)

    Singh Harminder

    2010-01-01

    Full Text Available Objective: The primary objective was to study the epidemiology of Human Immunodeficiency Virus (HIV positive tribal patients, and the secondary objective was to study the associated comorbidities in a tertiary care hospital in the tribal (Bastar region of Chhattisgarh, India, between December 2006 and November 2008, and their relation to CD4 counts. Materials and Methods : In this study 90 tribal HIV positive subjects were enrolled. Information on demographics, that is, weight, height, age, educational status, sex, clinical finding, and laboratory parameters (CD4 counts were noted. Results: Among 90 HIV patients, 54 (60% were males and 36 (40% were females. Among these, most patients, 37 (41.1%, were in the age group of 30 to 39 years. Among these patients, 79.56% belonged to the lower socioeconomic status, whereas, only 1.45% were from a high socioeconomic status. The largest group was made up of drivers (32.2%, with the second largest group being housewives (27.7% and laborers (17.7%, respectively. A majority of the patients had a low education, 35.5% were educated only up to the fifth standard and 31.8% up to high school, while 18.8% were illiterate. The predominant mode of transmission was heterosexual contact (78.8%, only one patient (1.1% was infected through transfusion of infected blood, five (5.5% patients acquired infection via vertical (mother to child transmission, and in 13 patients the transmission history was not clear. Conclusion: There was a high frequency of behavioral risk factors, together with unawareness, and very little health infrastructure, thus creating an impending risk for the rapid spread of HIV/AIDS (acquired immunodeficiency syndrome.

  8. The basis of clinical tribalism, hierarchy and stereotyping: a laboratory-controlled teamwork experiment

    Science.gov (United States)

    Braithwaite, Jeffrey; Clay-Williams, Robyn; Vecellio, Elia; Marks, Danielle; Hooper, Tamara; Westbrook, Mary; Westbrook, Johanna; Blakely, Brette; Ludlow, Kristiana

    2016-01-01

    Objectives To examine the basis of multidisciplinary teamwork. In real-world healthcare settings, clinicians often cluster in profession-based tribal silos, form hierarchies and exhibit stereotypical behaviours. It is not clear whether these social structures are more a product of inherent characteristics of the individuals or groups comprising the professions, or attributable to a greater extent to workplace factors. Setting Controlled laboratory environment with well-appointed, quiet rooms and video and audio equipment. Participants Clinical professionals (n=133) divided into 35 groups of doctors, nurses and allied health professions, or mixed professions. Interventions Participants engaged in one of three team tasks, and their performance was video-recorded and assessed. Primary and secondary measures Primary: teamwork performance. Secondary, pre-experimental: a bank of personality questionnaires designed to assess participants’ individual differences. Postexperimental: the 16-item Mayo High Performance Teamwork Scale (MHPTS) to measure teamwork skills; this was self-assessed by participants and also by external raters. In addition, external, arm's length blinded observations of the videotapes were conducted. Results At baseline, there were few significant differences between the professions in collective orientation, most of the personality factors, Machiavellianism and conservatism. Teams generally functioned well, with effective relationships, and exhibited little by way of discernible tribal or hierarchical behaviours, and no obvious differences between groups (F (3, 31)=0.94, p=0.43). Conclusions Once clinicians are taken out of the workplace and put in controlled settings, tribalism, hierarchical and stereotype behaviours largely dissolve. It is unwise therefore to attribute these factors to fundamental sociological or psychological differences between individuals in the professions, or aggregated group differences. Workplace cultures are more likely to

  9. The peculiarities of connection between social capital and psychological health of the people with different economic status: the analysis of research results

    Directory of Open Access Journals (Sweden)

    Олександра Андріївна Ніздрань

    2016-10-01

    Full Text Available The theoretical and methodological foundations and the organization of the empirical research of the connection between social capital and psychological health of persons with low level of economic status were proved. The peculiarities of the state of psychological health and the development of social capital constituents depending on the level of economic well-being of a person were revealed. The model of the influence of social capital as a factor of the psychological health of persons with low level of economic status was given

  10. Taxation and the Preservation of Tribal Political and Geographical Autonomy.

    Science.gov (United States)

    Clow, Richmond L.

    1991-01-01

    Examines the complexities of the taxation issue in Indian affairs, both for American Indian reservations and adjacent local governments. Demonstrates the role of statutes and case law in the recurring struggle to balance tribal immunities guaranteed by the federal government with the expectations of non-Indian taxpayers. (SV)

  11. 76 FR 79567 - Tribal Background Investigations and Licensing

    Science.gov (United States)

    2011-12-22

    ... previous business relationships with the gaming industry generally, including ownership interests in those... DEPARTMENT OF THE INTERIOR National Indian Gaming Commission 25 CFR Parts 556 and 558 RIN 3141-AA15 Tribal Background Investigations and Licensing AGENCY: National Indian Gaming Commission. ACTION...

  12. 75 FR 48329 - Tribal Drinking Water Operator Certification Program

    Science.gov (United States)

    2010-08-10

    ... operator has the skills, knowledge, education and experience necessary to deliver safe water supporting... demonstrates the operator has the skills, knowledge, education and experience necessary to deliver safe water... this program can be found at http://www.epa.gov/safewater/tribal.html . 2. Hard Copies. Hard copies of...

  13. Tribalism as a Foiled Factor of Africa Nation-Building

    Science.gov (United States)

    Okogu, J. O.; Umudjere, S. O.

    2016-01-01

    This paper tends to examine tribalism as a foiled factor on Africa nation-building and proffers useful tips to salvaging the Africa land from this deadly social problem. Africans in times past had suffered enormous attacks, injuries, losses, deaths, destruction of properties and human skills and ideas due to the presence of tribalistic views in…

  14. CERT tribal internship program. Final intern report: Maria Perez, 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    Historically, American Indian Tribes have lacked sufficient numbers of trained, technical personnel from their communities to serve their communities; tribal expertise in the fields of science, business and engineering being extremely rare and programs to encourage these disciplines almost non-existent. Subsequently, Tribes have made crucial decisions about their land and other facets of Tribal existence based upon outside technical expertise, such as that provided by the United States government and/or private industries. These outside expert opinions rarely took into account the traditional and cultural values of the Tribes being advised. The purpose of this internship was twofold: Create and maintain a working relationship between CERT and Colorado State University (CSU) to plan for the Summit on Tribal human resource development; and Evaluate and engage in current efforts to strengthen the Tribal Resource Institute in Business, Engineering and Science (TRIBES) program. The intern lists the following as the project results: Positive interactions and productive meetings between CERT and CSU; Gathered information from Tribes; CERT database structure modification; Experience as facilitator in participating methods; Preliminary job descriptions for staff of future TRIBES programs; and Additions for the intern`s personal database of professional contacts and resources.

  15. Chaparral Commerce Center Proposed Tribal Minor NSR Permit Application

    Science.gov (United States)

    Tribal Minor New Source Review (NSR) Permit application for the two emergency diesel-fired generators (1,500 kW each) to be installed at the Chaparral Commerce Center in the Salt River Pima-Maricopa Indian Community (SRPMIC) in Scottsdale, Arizona.

  16. 44 CFR 201.7 - Tribal Mitigation Plans.

    Science.gov (United States)

    2010-10-01

    ... initiatives. (2) A risk assessment that provides the factual basis for activities proposed in the strategy to... significant, even if they cannot be valued in monetary terms. (3) A mitigation strategy that provides the Indian tribal government's blueprint for reducing the potential losses identified in the risk assessment...

  17. Political Role of Tribes : Analysis of Tribalism, Islamism and Gender ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Tribal relations are deeply intertwined with political relations. ... When countries such as Jordan and Yemen adopted political pluralism, the political parties ... annuelle de l'Institut d'étude du développement international de l'Université McGill.

  18. Connecting Grammaticalisation

    DEFF Research Database (Denmark)

    Nørgård-Sørensen, Jens; Heltoft, Lars; Schøsler, Lene

    morphological, topological and constructional paradigms often connect to form complex paradigms. The book introduces the concept of connecting grammaticalisation to describe the formation, restructuring and dismantling of such complex paradigms. Drawing primarily on data from Germanic, Romance and Slavic...

  19. Heritable Disorders of Connective Tissue

    Science.gov (United States)

    ... Home Health Topics English Español Heritable Disorders of Connective Tissue Basics In-Depth Download Download EPUB Download PDF ... they? Points To Remember About Heritable Disorders of Connective Tissue There are more than 200 heritable disorders that ...

  20. Wind Generation on Winnebago Tribal Lands

    Energy Technology Data Exchange (ETDEWEB)

    Multiple

    2009-09-30

    The Winnebago Wind Energy Study evaluated facility-scale, community-scale and commercial-scale wind development on Winnebago Tribal lands in northeastern Nebraska. The Winnebago Tribe of Nebraska has been pursuing wind development in various forms for nearly ten years. Wind monitoring utilizing loaned met towers from NREL took place during two different periods. From April 2001 to April 2002, a 20-meter met tower monitored wind data at the WinnaVegas Casino on the far eastern edge of the Winnebago reservation in Iowa. In late 2006, a 50-meter tower was installed, and subsequently monitored wind data at the WinnaVegas site from late 2006 through late 2008. Significant challenges with the NREL wind monitoring equipment limited the availability of valid data, but based on the available data, average wind speeds between 13.6 – 14.3 miles were indicated, reflecting a 2+/3- wind class. Based on the anticipated cost of energy produced by a WinnaVegas wind turbine, and the utility policies and rates in place at this time, a WinnaVegas wind project did not appear to make economic sense. However, if substantial grant funding were available for energy equipment at the casino site, and if either Woodbury REC backup rates were lower, or NIPCO was willing to pay more for wind power, a WinnaVegas wind project could be feasible. With funding remaining in the DOE-funded project budget,a number of other possible wind project locations on the Winnebago reservation were considered. in early 2009, a NPPD-owned met tower was installed at a site identified in the study pursuant to a verbal agreement with NPPD which provided for power from any ultimately developed project on the Western Winnebago site to be sold to NPPD. Results from the first seven months of wind monitoring at the Western Winnebago site were as expected at just over 7 meters per second at 50-meter tower height, reflecting Class 4 wind speeds, adequate for commercial development. If wind data collected in the remaining

  1. Tribal Warfare: The Society of Modern Airmen

    Science.gov (United States)

    2015-06-01

    that they might “potentially” put themselves in harm’s way, along with the panache and mythology associated with flying in previous wars, was...emotional satisfaction of airplane flying. Flying can even be considered roman- tic, and the connections to mythology are clear—witness the story of Daedalus...for com- mon themes, it seems difficult to overlook the impact of mythology and a certain romantic view of how each group or subgroup can contribute

  2. Functional Connectivity Alterations between Networks and Associations with Infant Immune Health within Networks in HIV Infected Children on Early Treatment: A Study at 7 Years

    Directory of Open Access Journals (Sweden)

    Jadrana T. F. Toich

    2018-01-01

    Full Text Available Although HIV has been shown to impact brain connectivity in adults and youth, it is not yet known to what extent long-term early antiretroviral therapy (ART may alter these effects, especially during rapid brain development in early childhood. Using both independent component analysis (ICA and seed-based correlation analysis (SCA, we examine the effects of HIV infection in conjunction with early ART on resting state functional connectivity (FC in 7 year old children. HIV infected (HIV+ children were from the Children with HIV Early Antiretroviral Therapy (CHER trial and all initiated ART before 18 months; uninfected children were recruited from an interlinking vaccine trial. To better understand the effects of current and early immune health on the developing brain, we also investigated among HIV+ children the association of FC at 7 years with CD4 count and CD4%, both in infancy (6–8 weeks and at scan. Although we found no differences within any ICA-generated resting state networks (RSNs between HIV+ and uninfected children (27 HIV+, 18 uninfected, whole brain connectivity to seeds located at RSN connectivity peaks revealed several loci of FC differences, predominantly from seeds in midline regions (posterior cingulate cortex, paracentral lobule, cuneus, and anterior cingulate. Reduced long-range connectivity and increased short-range connectivity suggest developmental delay. Within the HIV+ children, clinical measures at age 7 years were not associated with FC values in any of the RSNs; however, poor immune health during infancy was associated with localized FC increases in the somatosensory, salience and basal ganglia networks. Together these findings suggest that HIV may affect brain development from its earliest stages and persist into childhood, despite early ART.

  3. Exposure assessment and initial intervention regarding fish consumption of tribal members of the Upper Great Lakes Region in the United States

    International Nuclear Information System (INIS)

    Dellinger, John A.

    2004-01-01

    The Ojibwe Health Study (OHS) has concluded 10 years of data collection and exposure assessment. Eight hundred and twenty-two participants from tribes in the states of Wisconsin, Michigan, and Minnesota (USA) completed fish consumption and environmental risk perception questionnaires. Many participants provided hair and blood samples for mercury and polychlorinated biphenyl (PCB) residue analyses as body burden indicators of these persistent environmental pollutants. Fish were collected by the tribal organizations and contaminants were analyzed for numerous tribal reports and professional environmental journal articles, these data were used by the Great Lakes Indian Fish and Wildlife Commission to produce tribal-specific geographic information systems maps as part of a public health intervention strategy. These maps are currently available at www.glifwc.org for six Wisconsin tribes that regularly harvest walleye. To determine the health impacts (if any) of pollutants on cancer, diabetes, and reproduction, it was necessary to know the recent trends in key indicators such as cancer mortality ratios and birth gender ratios. The Great Lakes Inter-Tribal Council provided the OHS and each participating tribe in Wisconsin and Michigan with a health profile. Total fish consumption (estimated by recall) for 720 tribal participants was self-reported as 60 g/day, but the highest actual consumption was measured as 11.2 g/day in one of the tribal groups. The highest blood concentrations in tribal participants were 18.6 ppb total serum PCBs and 11.8 ppb total blood mercury. Ninety percent of the participants had less than 3.8 ppb total serum PCBs and 2.6 ppb total blood mercury. Compared to other studies of subsistence fishing populations, these exposures were only moderately elevated and not high enough to warrant widespread restrictions on diets. Furthermore, the benefits of eating a fish diet must be continually emphasized. However, sport fishermen and their families who

  4. Disease concepts and treatment by tribal healers of an Amazonian forest culture.

    Science.gov (United States)

    Herndon, Christopher N; Uiterloo, Melvin; Uremaru, Amasina; Plotkin, Mark J; Emanuels-Smith, Gwendolyn; Jitan, Jeetendra

    2009-10-12

    The extensive medicinal plant knowledge of Amazonian tribal peoples is widely recognized in the scientific literature and celebrated in popular lore. Despite this broad interest, the ethnomedical systems and knowledge of disease which guide indigenous utilization of botanical diversity for healing remain poorly characterized and understood. No study, to our knowledge, has attempted to directly examine patterns of actual disease recognition and treatment by healers of an Amazonian indigenous culture. The establishment of traditional medicine clinics, operated and directed by elder tribal shamans in two remote Trio villages of the Suriname rainforest, presented a unique investigational opportunity. Quantitative analysis of clinic records from both villages permitted examination of diseases treated over a continuous period of four years. Cross-cultural comparative translations were articulated of recorded disease conditions through ethnographic interviews of elder Trio shamans and a comprehensive atlas of indigenous anatomical nomenclature was developed. 20,337 patient visits within the period 2000 to 2004 were analyzed. 75 disease conditions and 127 anatomical terms are presented. Trio concepts of disease and medical practices are broadly examined within the present and historical state of their culture. The findings of this investigation support the presence of a comprehensive and highly formalized ethnomedical institution within Trio culture with attendant health policy and conservation implications.

  5. Potentially toxic elements in soil of the Khyber Pakhtunkhwa province and Tribal areas, Pakistan: evaluation for human and ecological risk assessment.

    Science.gov (United States)

    Saddique, Umar; Muhammad, Said; Tariq, Mohsin; Zhang, Hua; Arif, Mohammad; Jadoon, Ishtiaq A K; Khattak, Nimat Ullah

    2018-03-22

    Potentially toxic elements (PTEs) contaminations in the soil ecosystem are considered as extremely hazardous due to toxicity, persistence and bioaccumulative nature. Therefore, this study was aimed to summarize the results of published PTEs in soil of Khyber Pakhtunkhwa and Tribal areas, Pakistan. Results were evaluated for the pollution quantification factors, including contamination factor (CF), pollution load index (PLI), ecological risk index (ERI) and human health risk assessment. The highest CF (797) and PLI (7.35) values were observed for Fe and ERI (857) values for Cd. Soil PTEs concentrations were used to calculate the human exposure for the risk assessment, including chronic or non-carcinogenic risks such as the hazard quotient (HQ) and carcinogenic or cancer risk (CR). The values of HQ were > 1 for the Cd, Co and Cr in Khyber Pakhtunkhwa and Tribal areas. Tribal areas showed higher values of ERI, HQ, and CR as compared to the Khyber Pakhtunkhwa that were attributed to the mining activities, weathering and erosion of mafic and ultramafic bedrocks hosting ophiolites. This study strongly recommends that best control measures need to be taken for soil PTEs with the intent to alleviate any continuing potential threat to the human health, property and environment, which otherwise could enter ecosystem and ultimately the living beings. Further studies are recommended to combat the soil PTEs concentrations and toxicity in the Tribal areas for a best picture of understanding the element effects on human, and environment can be achieved that will lead to a sustainable ecological harmony.

  6. Challenges and Opportunities for Tribal Waters: Addressing Disparities in Safe Public Drinking Water on the Crow Reservation in Montana, USA.

    Science.gov (United States)

    Doyle, John T; Kindness, Larry; Realbird, James; Eggers, Margaret J; Camper, Anne K

    2018-03-21

    Disparities in access to safe public drinking water are increasingly being recognized as contributing to health disparities and environmental injustice for vulnerable communities in the United States. As the Co-Directors of the Apsaálooke Water and Wastewater Authority (AWWWA) for the Crow Tribe, with our academic partners, we present here the multiple and complex challenges we have addressed in improving and maintaining tribal water and wastewater infrastructure, including the identification of diverse funding sources for infrastructure construction, the need for many kinds of specialized expertise and long-term stability of project personnel, ratepayer difficulty in paying for services, an ongoing legacy of inadequate infrastructure planning, and lack of water quality research capacity. As a tribal entity, the AWWWA faces additional challenges, including the complex jurisdictional issues affecting all phases of our work, lack of authority to create water districts, and additional legal and regulatory gaps-especially with regards to environmental protection. Despite these obstacles, the AWWWA and Crow Tribe have successfully upgraded much of the local water and wastewater infrastructure. We find that ensuring safe public drinking water for tribal and other disadvantaged U.S. communities will require comprehensive, community-engaged approaches across a broad range of stakeholders to successfully address these complex legal, regulatory, policy, community capacity, and financial challenges.

  7. Ante natal care services utilization, delivery practices and factors affecting them in tribal area of North Maharashtra

    Directory of Open Access Journals (Sweden)

    Sachin S Mumbare

    2011-01-01

    Full Text Available Background: Utilization of Ante natal care (ANC services is poor in the tribal areas, causing increased maternal morbidity and mortality. Objective: This study was carried out to find out ANC services utilization, delivery practices and factors affecting them in a tribal area of North Maharashtra in Nashik district. Design: Cross-sectional study. Materials and Methods: The study was carried out in two tribal blocks of Nashik district. Cluster sampling technique was used. 210 mothers in the selected clusters, who had delivered within last 1 year, were interviewed. Information about the ANC services utilization and place of delivery was recorded. Relevant socio-demographic data were also collected. Results: Adequate ANC services utilization was found to be 64.76%. Home deliveries were 34.29% and home deliveries conducted by untrained persons were 15.24%. Conclusion: The utilization of ANC services and deliveries at health centers were significantly associated with education of the women and their spouses, and the socioeconomic status of the family. Main reasons for inadequate utilization of ANC services were financial, unawareness about ANC services, etc. Place of delivery was associated with the type of the family. Traditional practices were the most common reason for conducting the deliveries at home.

  8. 78 FR 24212 - Tribal Management Grant Program

    Science.gov (United States)

    2013-04-24

    ... eligible to receive this grant only if it is incorporated for the primary purpose of improving AI/AN health... that will impact their management capability or prepare them for future improvements to their...

  9. COMPARATIVE STUDIES ON MAN-BITING POPULATION OF FILARIAL VECTOR Cx. quinquefasciatus (Diptera: Culicidae BETWEEN TRIBAL AND NON-TRIBAL AREAS OF BANKURA DISTRICT, WEST BENGAL INDIA

    Directory of Open Access Journals (Sweden)

    G. Chandra

    2012-10-01

    Full Text Available West Bengal, India is endemic for filariasis and the number of patients infected with bancroftian filariasis is increasing. There are no observation on the potential vector of filariasis from the tribal areas that make up considerable part in this state. This study investigate population of Cx. quinquefasciatus in tribal and non-tribal areas of Bankura district. Species composition of mosquitoes, per man-hour density, hourly densities of night biting Cx. quinquefasciatus, number of Cx. quinquefasciatus biting per man per day and per man per night. Preferential biting site and peak period of filarial transmission were recorded from both the study areas. Infection rate, infectivity rate of man-landing vector population and annual transmission potential were observed to be 0.31%, 0.00% and 0.00 in tribal areas and 0.73%, 0.23% and 359.71 in non-tribal areas respectively.

  10. CERT tribal internship program. Final intern report: Karen Sandoval, 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    The purpose of the project was to: create a working relationship between CERT and Colorado State University (CSU); involve and create relationships among individuals and departments at CSU; empower Native communities to run their own affairs; establish programs for the benefit of Tribes; and create Native American Program Development Office at CSU. The intern lists the following as the project results: revised a Native American Program Development document; confirmation from 45 departments across campus for Summit attendance [Tribal Human Resource Development Summit]; created initial invitee list from CSU departments and colleges; and informed CERT and CSU staff of results. Much of the response from the campus community has been positive and enthusiastic. They are ready to develop new Native American programs on campus, but need the awareness of what they can do to be respectful of Tribal needs.

  11. An Asset-Based Approach to Tribal Community Energy Planning

    Energy Technology Data Exchange (ETDEWEB)

    Gutierrez, Rachael A. [Pratt Inst., Brooklyn, NY (United States). City and Regional Planning; Martino, Anthony [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Materials, Devices, and Energy Technologies; Begay, Sandra K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Materials, Devices, and Energy Technologies

    2016-08-01

    Community energy planning is a vital component of successful energy resource development and project implementation. Planning can help tribes develop a shared vision and strategies to accomplish their energy goals. This paper explores the benefits of an asset-based approach to tribal community energy planning. While a framework for community energy planning and federal funding already exists, some areas of difficulty in the planning cycle have been identified. This paper focuses on developing a planning framework that offsets those challenges. The asset-based framework described here takes inventory of a tribe’s capital assets, such as: land capital, human capital, financial capital, and political capital. Such an analysis evaluates how being rich in a specific type of capital can offer a tribe unique advantages in implementing their energy vision. Finally, a tribal case study demonstrates the practical application of an asset-based framework.

  12. CERT tribal internship program. Final intern report: Melinda Jacquez, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    The purpose of the intern project was to write a comprehensive booklet on all state legislation proposed in 1995 on Native American issues. A second purpose was to contact tribal governments and request an ordinance, law or resolution on hazardous and nuclear waste transportation. This intern report contains a summary of bills proposed in 37 state legislatures pertaining to Native American issues. Time ran out before the second project objective could be met.

  13. Monitoring and evaluation plan for the Nez Perce Tribal Hatchery

    Energy Technology Data Exchange (ETDEWEB)

    Steward, C.R.

    1996-08-01

    The Nez Perce Tribe has proposed to build and operate the Nez Perce Tribal Hatchery (NPTH) in the Clearwater River subbasin of Idaho for the purpose of restoring self-sustaining populations of spring, summer, and fall chinook salmon to their native habitats. The project comprises a combination of incubation and rearing facilities, satellite rearing facilities, juvenile and adult collection sites, and associated production and harvest management activities. As currently conceived, the NPTH program will produce approximately 768,000 spring chinook parr, 800,000 summer chinook fry, and 2,000,000 fall chinook fry on an annual basis. Hatchery fish would be spawned, reared, and released under conditions that promote wild-type characteristics, minimize genetic changes in both hatchery and wild chinook populations, and minimize undesirable ecological interactions. The primary objective is to enable hatchery-produced fish to return to reproduce naturally in the streams in which they are released. These and other characteristics of the project are described in further detail in the Nez Perce Tribal Hatchery Master Plan, the 1995 Supplement to the Master Plan, and the Nez Perce Tribal Hatchery Program Environmental Impact Statement. The report in hand is referred to in project literature as the NPTH Monitoring and Evaluation (M&E) Plan. This report describes monitoring and evaluation activities that will help NPTH managers determine whether they were successful in restoring chinook salmon populations and avoiding adverse ecological impacts.

  14. Nez Perce Tribal Hatchery Program: Draft environmental impact statement. Summary

    International Nuclear Information System (INIS)

    1996-06-01

    This summary gives the major points of the Draft Environmental Impact Statement (EIS) prepared for the Nez Perce Tribal Hatchery by the Nez Perce Tribe (NPT), the Bonneville Power Administration (BPA), the Bureau of Indian Affairs (BIA), and other interested parties. The Nez Perce once were one of the largest Plateau tribes in the Northwest and occupied a territory that included north central Idaho, southeastern Washington and northeastern Oregon. Salmon and other migratory fish species are an invaluable food resource and an integral part of the Nez Perce Tribe's culture. Anadromous fish have always made up the bulk of the Nez Perce tribal diet and this dependence on salmon was recognized in the treaties made with the Tribe by the US. The historic economic, social, and religious significance of the fish to the Nez Perce Tribe continues to this day, which makes the decline of fish populations in the Columbia River Basin a substantial detrimental impact to the Nez Perce way of life. The Nez Perce Tribal Hatchery is a supplementation program that would rear and release spring, summer, and fall chinook (Oncorhynchus tshawytscha), biologically similar to wild fish, to reproduce in the Clearwater River Subbasin. Program managers propose techniques that are compatible with existing aquatic and riparian ecosystems and would integrate hatchery-produced salmon into the stream and river environments needed to complete their life cycle

  15. Nutritional status and dietary intake in tribal children of Bihar.

    Science.gov (United States)

    Yadav, R J; Singh, P

    1999-01-01

    To assess the dietary intake and nutritional status in children of the tribal areas of Bihar. Cross sectional survey with two stage probability proportional to size sampling. Study covered 396 villages from 17 tribal districts of Bihar. 1847 preschool children (0-6 Years) were studied. 24 hours recall method was used to assess the nutrition intake and anthropometric measurements included height and weight. Nutritional intake was compared with Indian Council of Medical Research recommended dietary allowances (RDA) and nutritional status assessed by SD classification. The intake of protein was broadly in line with the recommended dietary allowances (RDA) in all age groups among children. However, the average intake of energy and other nutrients was lower in allage groups as compared to RDA. Calorie deficiency was 38% whereas protein deficiency was about 19%. More than half of the children were caloric deficient in Katihar, Bokaro, Godda and Singhbhum (east and west). The overall prevalence of stunting was about 60% and underweight about 55% and was comparable in boys and girls. However, wasting was more frequent in girls (urban - 34.5% vs. 16.3% and rural - 34.9% vs 18%). The level of malnutrition was not very different in rural and urban areas. The nutritional status and dietary intakes of tribal children in Bihar is very poor. Urgent remedial measures are required in this context, particularly on a war footing in especially vulnerable districts identified by this survey.

  16. Against Schooling: Viewpoints of Tribal Students of Kanavu, India

    Directory of Open Access Journals (Sweden)

    Teena AUGUSTINE

    2014-07-01

    Full Text Available Achieving what we believe to be the true purpose of education is a challenge in any society, particularly so in a society as diverse as contemporary India. Most attempts in this field are focussed on improving the access of children to education, but substantive questions such as: What is a school to a child? Does he/she enjoy learning? are seldom addressed prior to drafting any curriculum or policy. Even where they are, the exploration tends to be qualitatively poor and devoid of stake holders views. Alternative educational organisations might offer a perspective on the crisis education seems to be in today, with children lacking lifeskills, governments grappling with retention, disparities across gender and caste and declining standards of education. Kanavu is an educational organisation managed by tribal youth in Cheengode village of Wayanad, a hilly district in the southern state of Kerala, India. These are children who dropped out of mainstream schooling. In the light of efforts to mainstream tribal students into government schools and to control escalating dropout rates, this paper tries to understand the perspectives of the tribal students of Kanavu on schooling and their reasons for resisting mainstream schooling. This paper is a result of a 4 day visit and extensive correspondence the authors have had with this alternative learning organisation.

  17. Nez Perce Tribal Hatchery Program : Draft Environmental Impact Statement Summary.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration; Nez Perce Tribal Hatchery (Idaho)

    1996-06-01

    This summary gives the major points of the Draft Environmental Impact Statement (EIS) prepared for the Nez Perce Tribal Hatchery by the Nez Perce Tribe (NPT), the Bonneville Power Administration (BPA), the Bureau of Indian Affairs (BIA), and other interested parties. The Nez Perce once were one of the largest Plateau tribes in the Northwest and occupied a territory that included north central Idaho, southeastern Washington and northeastern Oregon. Salmon and other migratory fish species are an invaluable food resource and an integral part of the Nez Perce Tribe`s culture. Anadromous fish have always made up the bulk of the Nez Perce tribal diet and this dependence on salmon was recognized in the treaties made with the Tribe by the US. The historic economic, social, and religious significance of the fish to the Nez Perce Tribe continues to this day, which makes the decline of fish populations in the Columbia River Basin a substantial detrimental impact to the Nez Perce way of life. The Nez Perce Tribal Hatchery is a supplementation program that would rear and release spring, summer, and fall chinook (Oncorhynchus tshawytscha), biologically similar to wild fish, to reproduce in the Clearwater River Subbasin. Program managers propose techniques that are compatible with existing aquatic and riparian ecosystems and would integrate hatchery-produced salmon into the stream and river environments needed to complete their life cycle.

  18. Making Connections

    Science.gov (United States)

    Pien, Cheng Lu; Dongsheng, Zhao

    2011-01-01

    Effective teaching includes enabling learners to make connections within mathematics. It is easy to accord with this statement, but how often is it a reality in the mathematics classroom? This article describes an approach in "connecting equivalent" fractions and whole number operations. The authors illustrate how a teacher can combine a common…

  19. Sovereignty and social justice: how the concepts affect federal American Indian policy and American Indian health.

    Science.gov (United States)

    Unal, Donalee

    2018-04-19

    The health disparities that are prevalent among American Indian and Alaska Native (AI/AN) communities are connected to the ideology of sovereignty and often ignored in social work and public health literature. Therefore, the purpose of this paper is to examine the health outcomes of American Indians from the time of contact with European settlers to the present through the ideology of sovereignty and federal government AI health policy. The foundation for the health outcomes of AIs and the governmental policies affecting them lie in the ideology of tribal sovereignty. This ideology has greatly impacted how the government views and treats AIs and consequently, how it has impacted their health. From the earliest treaties between European settlers and AIs, this legal relationship has been and remains a perplexing issue. With the examination of tribal sovereignty comes the realization that colonization and governmental polices have greatly contributed to the many social and health problems that AIs suffer from today. Understanding that the health disparities that exist among AI/AN populations cannot only be attributed to individual behavior and choice but is driven by societal, economic and political factors may be used to inform social work education, practice, and research.

  20. Parents’ Attitude toward Daughters’ Education in Tribal Area of Dera Ghazi Khan (Pakistan)

    OpenAIRE

    Muhammad Ayub Buzdar; Akhtar Ali

    2011-01-01

    The paper aimed to investigate the parents’ attitudes toward their daughters’ education in tribal areas of district Dera Ghazi Khan (Pakistan). To achieve the objectives four research questions were established. Focus of the questions was to examine the significance of girls’ education for tribal parents. Existing and expected role of tribal parents as well as contribution from government and community for girls’ education was also aimed to explore in research questions. Sample comprised thir...

  1. Common state mechanisms regulating tribal tobacco taxation and sales, the USA, 2015.

    Science.gov (United States)

    DeLong, Hillary; Chriqui, Jamie; Leider, Julien; Chaloupka, Frank J

    2016-10-01

    Native American tribes, as sovereign nations, are exempt from state tobacco excise taxation, and self-govern on-reservation activity in the USA. Under Federal law, state excise taxes are owed by non-members purchasing tobacco on tribal land, but states are limited in how they enforce or collect these taxes. This study highlights the various policy approaches that states have taken to regulate tobacco sales on tribal lands given jurisdictional challenges. State laws (statutes, regulations and case law), Attorney General opinions, and revenue notices and rulings effective as of 1 January 2015 for all 50 states and the District of Columbia were compiled using Boolean searches in Lexis-Nexis and Westlaw. Laws were limited to those addressing taxation compacts or tobacco sales involving tribal entities. Master Settlement Agreement laws and non-codified tribal codes/compacts were excluded. Twenty of the 34 states with tribal lands address tribal tobacco sales. Fourteen states address intergovernmental compacts: 11 are tobacco specific, and suggest or require specific provisions. Fifteen states address tribal tax stamps: 2 explicitly prohibit stamping tribally sold products, 9 stamp all products, and 4 stamp some. Prepayment of excise tax is required in 12 states: 6 on all products, 4 on products in excess of quota, and 2 on products sold by non-tribal retailers. 6 states use quotas to limit tax-free tobacco available to tribes. Many states with a tribal presence have no formal strategies for non-members purchasing tobacco on tribal lands. Formalising policies and harmonising tax rates may assist states in collecting tax revenue from non-tribal consumers. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  2. Ethnomedicinal plants of the Bauri tribal community of Moulvibazar District, Bangladesh

    OpenAIRE

    Das, Protiva Rani; Islam, Md. Tabibul; Mostafa, Mohd. Nabil; Rahmatullah, Mohammed

    2013-01-01

    Context: Bangladesh reportedly has more than 100 tribal communities; however, documentation of their medicinal practices is markedly absent. Aim: The aim of the present study was to conduct an ethnomedicinal survey among the little known Bauri tribe of Bangladesh, whose tribal medicinal practices are yet to be documented. Settings and Design: The survey was carried out among the Bauri tribal community of Purbo Tila village in Moulvibazar District. The community is believed to be the o...

  3. 78 FR 37541 - Office for State, Tribal, Local and Territorial Support (OSTLTS); Meeting

    Science.gov (United States)

    2013-06-21

    ... understanding and comprehension. CDC believes that consultation is integral to a deliberative process that... Tribal Consultation include the following: A listening session with CDC's director, roundtable...

  4. About Connections

    Directory of Open Access Journals (Sweden)

    Kathleen S Rockland

    2015-05-01

    Full Text Available Despite the attention attracted by connectomics, one can lose sight of the very real questions concerning What are connections? In the neuroimaging community, structural connectivity is ground truth and underlying constraint on functional or effective connectivity. It is referenced to underlying anatomy; but, as increasingly remarked, there is a large gap between the wealth of human brain mapping and the relatively scant data on actual anatomical connectivity. Moreover, connections have typically been discussed as pairwise, point x projecting to point y (or: to points y and z, or more recently, in graph theoretical terms, as nodes or regions and the interconnecting edges. This is a convenient shorthand, but tends not to capture the richness and nuance of basic anatomical properties as identified in the classic tradition of tracer studies. The present short review accordingly revisits connectional weights, heterogeneity, reciprocity, topography, and hierarchical organization, drawing on concrete examples. The emphasis is on presynaptic long-distance connections, motivated by the intention to probe current assumptions and promote discussions about further progress and synthesis.

  5. Scenario-based design: a method for connecting information system design with public health operations and emergency management.

    Science.gov (United States)

    Reeder, Blaine; Turner, Anne M

    2011-12-01

    Responding to public health emergencies requires rapid and accurate assessment of workforce availability under adverse and changing circumstances. However, public health information systems to support resource management during both routine and emergency operations are currently lacking. We applied scenario-based design as an approach to engage public health practitioners in the creation and validation of an information design to support routine and emergency public health activities. Using semi-structured interviews we identified the information needs and activities of senior public health managers of a large municipal health department during routine and emergency operations. Interview analysis identified 25 information needs for public health operations management. The identified information needs were used in conjunction with scenario-based design to create 25 scenarios of use and a public health manager persona. Scenarios of use and persona were validated and modified based on follow-up surveys with study participants. Scenarios were used to test and gain feedback on a pilot information system. The method of scenario-based design was applied to represent the resource management needs of senior-level public health managers under routine and disaster settings. Scenario-based design can be a useful tool for engaging public health practitioners in the design process and to validate an information system design. Copyright © 2011 Elsevier Inc. All rights reserved.

  6. Oceans apart, yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services

    OpenAIRE

    Ducat, Wendy; Martin, Priya; Kumar, Saravana; Burge, Vanessa; Abernathy, LuJuana

    2015-01-01

    Abstract Objective Improving the quality and safety of health care in Australia is imperative to ensure the right treatment is delivered to the right person at the right time. Achieving this requires appropriate clinical governance and support for health professionals, including professional supervision. This study investigates the usefulness and effectiveness of and barriers to supervision in rural and remote Queensland. Design As part of the evaluation of the Allied Health Rural and Remote ...

  7. Internet Connectivity

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. Internet Connectivity. BSNL, SIFY, HCL in Guwahati; only BSNL elsewhere in NE (local player in Shillong). Service poor; All vendors lease BW from BSNL.

  8. Mathematics Connection

    African Journals Online (AJOL)

    MATHEMATICS CONNECTION aims at providing a forum topromote the development of Mathematics Education in Ghana. Articles that seekto enhance the teaching and/or learning of mathematics at all levels of theeducational system are welcome.

  9. HR Connect

    Data.gov (United States)

    US Agency for International Development — HR Connect is the USAID HR personnel system which allows HR professionals to process HR actions related to employee's personal and position information. This system...

  10. Measuring financial well-being in cancer prevention research: Results from the Money-Health Connection Study

    Science.gov (United States)

    Dr. Reginald Tucker-Seeley joined the faculty at the University of Southern California (USC) Leonard Davis School of Gerontology in June 2017. Prior to joining USC, Dr. Tucker-Seeley was an Assistant Professor at the Dana-Farber Cancer Institute (DFCI) and the Harvard T.H. Chan School of Public Health (HSPH). He completed master and doctoral degrees at HSPH and a postdoctoral fellowship in cancer prevention and control at HSPH and DFCI. Dr. Tucker-Seeley’s research focuses primarily on social determinants of health, such as the association between the neighborhood environment and health behavior; and on individual-level socioeconomic determinants of multi-morbidity, mortality, self-rated health, and health self-efficacy. His current work focuses on financial well-being across the cancer continuum, from prevention to end-of-life care. He has received R21 and K01 grants from the National Cancer Institute (NCI) to develop measures of financial well-being at two points along the cancer continuum: prevention and following diagnosis. He was also funded by the Academy Health/Aetna Foundation Scholars in Residence Fellowship Program to develop measures of neighborhood economic well-being. Dr. Tucker-Seeley’s research has been published in journals such as the American Journal of Public Health, Preventive Medicine, Journal of National Cancer Institute, Cancer Causes and Control, and the American Journal of Preventive Medicine. Dr. Tucker-Seeley is also committed to community service that targets the elimination of health disparities. He served for three years on the Rhode Island Commission for Health Advocacy and Equity. Based on his experience on this Commission, Dr. Tucker-Seeley developed a new course at HSPH called “Measuring and Reporting Health Disparities;” and in 2016, he received the HSPH teaching award for this course.

  11. Malaria epidemiology in an area of stable transmission in tribal population of Jharkhand, India.

    Science.gov (United States)

    Das, Manoj K; Prajapati, Brijesh K; Tiendrebeogo, Régis W; Ranjan, Kumud; Adu, Bright; Srivastava, Amit; Khera, Harvinder K; Chauhan, Narendra; Tevatiya, Sanjay; Kana, Ikhlaq H; Sharma, Surya Kant; Singh, Subhash; Theisen, Michael

    2017-05-02

    Malaria remains an important health problem in India with approximately 1 million cases in 2014. Of these, 7% occurred in the Jharkhand state mainly in the tribal population. This study was conducted in Dumargarhi, a tribal village about 42 km east of Ranchi city, Jharkhand, from May 2014 to September 2016. Four point prevalence surveys were carried out during consecutive high (October-December) and low (June-August) transmission seasons. Malaria cases were recorded from April 2015 to April 2016 through fortnightly visits to the village. Adult mosquito densities were monitored fortnightly by manual catching using suction tube method. The study area consists of five hamlets inhabited by 945 individuals living in 164 households as recorded through a house-to-house census survey performed at enrollment. The study population consisted predominantly of the Munda (n = 425, 45%) and Oraon (n = 217, 23%) ethnic groups. Study participants were categorized as per their age 0-5, 6-10, 11-15 and >15 years. There were 99 cases of clinical malaria from April 2015 to April 2016 and all malaria cases confirmed by microscopy were attributed to Plasmodium falciparum (94 cases) and Plasmodium vivax (5 cases), respectively. During the high transmission season the mean density of P. falciparum parasitaemia per age group increased to a peak level of 23,601 parasites/μl in the 6-10 years age group and gradually declined in the adult population. Malaria attack rates, parasite prevalence and density levels in the study population showed a gradual decrease with increasing age. This finding is consistent with the phenomenon of naturally acquired immunity against malaria. Three vector species were detected: Anopheles fluviatilis, Anopheles annularis, and Anopheles culicifacies. The incoherence or complete out of phase pattern of the vector density peaks together with a high prevalence of parasite positive individuals in the study population explains the year-round malaria

  12. The basis of clinical tribalism, hierarchy and stereotyping: a laboratory-controlled teamwork experiment.

    Science.gov (United States)

    Braithwaite, Jeffrey; Clay-Williams, Robyn; Vecellio, Elia; Marks, Danielle; Hooper, Tamara; Westbrook, Mary; Westbrook, Johanna; Blakely, Brette; Ludlow, Kristiana

    2016-07-29

    To examine the basis of multidisciplinary teamwork. In real-world healthcare settings, clinicians often cluster in profession-based tribal silos, form hierarchies and exhibit stereotypical behaviours. It is not clear whether these social structures are more a product of inherent characteristics of the individuals or groups comprising the professions, or attributable to a greater extent to workplace factors. Controlled laboratory environment with well-appointed, quiet rooms and video and audio equipment. Clinical professionals (n=133) divided into 35 groups of doctors, nurses and allied health professions, or mixed professions. Participants engaged in one of three team tasks, and their performance was video-recorded and assessed. Primary: teamwork performance. Secondary, pre-experimental: a bank of personality questionnaires designed to assess participants' individual differences. Postexperimental: the 16-item Mayo High Performance Teamwork Scale (MHPTS) to measure teamwork skills; this was self-assessed by participants and also by external raters. In addition, external, arm's length blinded observations of the videotapes were conducted. At baseline, there were few significant differences between the professions in collective orientation, most of the personality factors, Machiavellianism and conservatism. Teams generally functioned well, with effective relationships, and exhibited little by way of discernible tribal or hierarchical behaviours, and no obvious differences between groups (F (3, 31)=0.94, p=0.43). Once clinicians are taken out of the workplace and put in controlled settings, tribalism, hierarchical and stereotype behaviours largely dissolve. It is unwise therefore to attribute these factors to fundamental sociological or psychological differences between individuals in the professions, or aggregated group differences. Workplace cultures are more likely to be influential in shaping such behaviours. The results underscore the importance of culture and

  13. Oceans apart, yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services.

    Science.gov (United States)

    Ducat, Wendy; Martin, Priya; Kumar, Saravana; Burge, Vanessa; Abernathy, LuJuana

    2016-02-01

    Improving the quality and safety of health care in Australia is imperative to ensure the right treatment is delivered to the right person at the right time. Achieving this requires appropriate clinical governance and support for health professionals, including professional supervision. This study investigates the usefulness and effectiveness of and barriers to supervision in rural and remote Queensland. As part of the evaluation of the Allied Health Rural and Remote Training and Support program, a qualitative descriptive study was conducted involving semi-structured interviews with 42 rural or remote allied health professionals, nine operational managers and four supervisors. The interviews explored perspectives on their supervision arrangements, including the perceived usefulness, effect on practice and barriers. Themes of reduced isolation; enhanced professional enthusiasm, growth and commitment to the organisation; enhanced clinical skills, knowledge and confidence; and enhanced patient safety were identified as perceived outcomes of professional supervision. Time, technology and organisational factors were identified as potential facilitators as well as potential barriers to effective supervision. This research provides current evidence on the impact of professional supervision in rural and remote Queensland. A multidimensional model of organisational factors associated with effective supervision in rural and remote settings is proposed identifying positive supervision culture and a good supervisor-supervisee fit as key factors associated with effective arrangements. © 2015 Commonwealth of Australia. Australian Journal of Rural Health published by Wiley Publishing Asia Pty Ltd. on behalf of National Rural Health Alliance Inc.

  14. Health disparities between lesbian, gay, and bisexual adults and the general population in South Korea: Rainbow Connection Project I

    Directory of Open Access Journals (Sweden)

    Horim Yi

    2017-10-01

    Full Text Available OBJECTIVES This study aims to investigate health disparities between lesbian, gay, and bisexual (LGB adults and the general population in Korea, where there is low public acceptance of sexual minorities and a lack of research on the health of sexual minorities. METHODS The research team conducted a nationwide survey of 2,335 Korean LGB adults in 2016. Using the dataset, we estimated the age-standardized prevalence ratios (SPRs for poor self-rated health, musculoskeletal pain, depressive symptoms, suicidal behaviors, smoking, and hazardous drinking. We then compared the SPRs of the LGB adults and the general population which participated in three different nationally representative surveys in Korea. SPRs were estimated for each of the four groups (i.e., gay men, bisexual men, lesbians, and bisexual women. RESULTS Korean LGB adults exhibited a statistically significantly higher prevalence of depressive symptoms, suicidal ideation and attempts, and musculoskeletal pain than the general population. Lesbian and bisexual women had a higher risk of poor self-rated health and smoking than the general women population, whereas gay and bisexual men showed no differences with the general men population. Higher prevalence of hazardous drinking was observed among lesbians, gay men, and bisexual women compared to the general population, but was not observed in bisexual men. CONCLUSIONS The findings suggest that LGB adults have poorer health conditions compared to the general population in Korea. These results suggest that interventions are needed to address the health disparities of Korean LGB adults.

  15. Health disparities between lesbian, gay, and bisexual adults and the general population in South Korea: Rainbow Connection Project I.

    Science.gov (United States)

    Yi, Horim; Lee, Hyemin; Park, Jooyoung; Choi, Bokyoung; Kim, Seung-Sup

    2017-01-01

    This study aims to investigate health disparities between lesbian, gay, and bisexual (LGB) adults and the general population in Korea, where there is low public acceptance of sexual minorities and a lack of research on the health of sexual minorities. The research team conducted a nationwide survey of 2,335 Korean LGB adults in 2016. Using the dataset, we estimated the age-standardized prevalence ratios (SPRs) for poor self-rated health, musculoskeletal pain, depressive symptoms, suicidal behaviors, smoking, and hazardous drinking. We then compared the SPRs of the LGB adults and the general population which participated in three different nationally representative surveys in Korea. SPRs were estimated for each of the four groups (i.e., gay men, bisexual men, lesbians, and bisexual women). Korean LGB adults exhibited a statistically significantly higher prevalence of depressive symptoms, suicidal ideation and attempts, and musculoskeletal pain than the general population. Lesbian and bisexual women had a higher risk of poor self-rated health and smoking than the general women population, whereas gay and bisexual men showed no differences with the general men population. Higher prevalence of hazardous drinking was observed among lesbians, gay men, and bisexual women compared to the general population, but was not observed in bisexual men. The findings suggest that LGB adults have poorer health conditions compared to the general population in Korea. These results suggest that interventions are needed to address the health disparities of Korean LGB adults.

  16. Establishing Connectivity

    DEFF Research Database (Denmark)

    Kjær, Poul F.

    Global law settings are characterised by a structural pre-eminence of connectivity norms, a type of norm which differs from coherency or possibility norms. The centrality of connectivity norms emerges from the function of global law, which is to increase the probability of transfers of condensed ...... and human rights can be understood as serving a constitutionalising function aimed at stabilising and facilitating connectivity. This allows for an understanding of colonialism and contemporary global governance as functional, but not as normative, equivalents.......Global law settings are characterised by a structural pre-eminence of connectivity norms, a type of norm which differs from coherency or possibility norms. The centrality of connectivity norms emerges from the function of global law, which is to increase the probability of transfers of condensed...... social components, such as economic capital and products, religious doctrines and scientific knowledge, from one legally structured context to another within world society. This was the case from colonialism and colonial law to contemporary global supply chains and human rights. Both colonial law...

  17. A Volunteer Program to Connect Primary Care and the Home to Support the Health of Older Adults: A Community Case Study

    Directory of Open Access Journals (Sweden)

    Doug Oliver

    2018-02-01

    Full Text Available Primary care providers are critical in providing and optimizing health care to an aging population. This paper describes the volunteer component of a program (Health TAPESTRY which aims to encourage the delivery of effective primary health care in novel and proactive ways. As part of the program, volunteers visited older adults in their homes and entered information regarding health risks, needs, and goals into an electronic application on a tablet computer. A total of 657 home visits were conducted by 98 volunteers, with 22.45% of volunteers completing at least 20 home visits over the course of the program. Information was summarized in a report and electronically sent to the health care team via clients’ electronic medical records. The report was reviewed by the interprofessional team who then plan ongoing care. Volunteer recruitment, screening, training, retention, and roles are described. This paper highlights the potential role of a volunteer in a unique connection between primary care providers and older adult patients in their homes.

  18. IoT and Connected Insurance Reshaping The Health Insurance Industry. A Customer-centric “From Cure To Care” Approach

    Directory of Open Access Journals (Sweden)

    A. Silvello

    2017-12-01

    Full Text Available An increasing global population, the rise in number of chronic disease patients and the threat of global epidemics have made the way for technology as a potential answer to many of these problems. Health insurance can contribute to the resolution of some of these issues but insurers need to transition from simple “Payers” to “Players” in order to achieve that. They need to become points of reference on which the customer and the health care system can count on. This is possible and is strictly related to connected insurance and in particular to wearables and devices that are able to gather vital data from patients and share them with the care givers.

  19. CERT tribal internship program. Final intern report: Manuel Steele, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    The purpose of this internship was to facilitate transfer of advancements in renewable energy to Native American lands for economic and educational benefits and to assist in evaluation of proposals submitted for government funding under Title 26 Indian Energy Resources Program. Specific objectives were to examine specific cost factors stated by each Tribe for economic assessment of each proposal; assess environmental impacts of proposed scope of work presented by each Tribe; monitor existing grants for disbursement of requested funds; and provide Tribal governments with a fair and impartial review of grant proposals for funding by the Department of Energy.

  20. Yakima tribal perspectives on high level selection process

    International Nuclear Information System (INIS)

    Jim, R.; Wittman, J.; Tousley, D.R.; Hovis, J.B.

    1987-01-01

    When Congress went through the arduous process of fashioning a comprehensive plan for resolution of the nation's long-standing nuclear waste problem, it explicitly recognized that past federal efforts in this area had been inadequate. Congress also recognized that the primary reasons for the failure of earlier federal efforts was failure on the part of the federal government to seriously deal with very real technical questions about the geologic adequacy of prospective repository sites, and failure to address the concerns of state, tribal, and local governments in the repository selection and development process

  1. Unpacking the performance of a mobile health information messaging program for mothers (MomConnect) in South Africa: evidence on program reach and messaging exposure.

    Science.gov (United States)

    LeFevre, Amnesty E; Dane, Pierre; Copley, Charles J; Pienaar, Cara; Parsons, Annie Neo; Engelhard, Matt; Woods, David; Bekker, Marcha; Benjamin, Peter; Pillay, Yogan; Barron, Peter; Seebregts, Christopher John; Mohan, Diwakar

    2018-01-01

    Despite calls to address broader evidence gaps in linking digital technologies to outcome and impact level health indicators, limited attention has been paid to measuring processes pertaining to the performance of programs. In this paper, we assess the program reach and message exposure of a mobile health information messaging program for mothers (MomConnect) in South Africa. In this descriptive study, we draw from system generated data to measure exposure to the program through registration attempts and conversions, message delivery, opt-outs and drop-outs. Using a logit model, we additionally explore determinants for early registration, opt-outs and drop-outs. From August 2014 to April 2017, 1 159 431 women were registered to MomConnect; corresponding to half of women attending antenatal care 1 (ANC1) and nearly 60% of those attending ANC1 estimated to own a mobile phone. In 2016, 26% of registrations started to get women onto MomConnect did not succeed. If registration attempts were converted to successful registrations, coverage of ANC1 attendees would have been 74% in 2016 and 86% in 2017. When considered as percentage of ANC1 attendees with access to a mobile phone, addressing conversion challenges bring registration coverage to an estimated 83%-89% in 2016 and 97%-100% in 2017. Among women registered, nearly 80% of expected short messaging service messages were received. While registration coverage and message delivery success rates exceed those observed for mobile messaging programs elsewhere, study findings highlight opportunities for program improvement and reinforce the need for rigorous and continuous monitoring of delivery systems.

  2. 77 FR 43353 - Renewal of Agency Information Collection for Tribal Self-Governance Program

    Science.gov (United States)

    2012-07-24

    ... Tribal Self- Governance Program AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of request for... collection of information for Tribal Self-Governance Program authorized by OMB Control Number 1076-0143. This... Self-Governance, 1951 Constitution Avenue NW., Mail Stop 355-G SIB, Washington, DC 20240; telephone...

  3. 77 FR 71016 - Renewal of Agency Information Collection for Tribal Self-Governance Program

    Science.gov (United States)

    2012-11-28

    ... Tribal Self- Governance Program AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of submission... collection of information for Tribal Self-Governance Program. The information collection is currently... send a copy of your comments to Ken Reinfeld, Office of Self-Governance, 1951 Constitution Avenue NW...

  4. 76 FR 75899 - Announcement of Vacancy on the Osage Tribal Education Committee

    Science.gov (United States)

    2011-12-05

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Announcement of Vacancy on the Osage Tribal Education Committee AGENCY: Bureau of Indian Education, Interior. ACTION: Notice. SUMMARY: The Bureau of Indian Education is announcing that a vacancy has occurred on the Osage Tribal Education Committee. This...

  5. 25 CFR 170.913 - Do tribal-specific employment rights and contract preference laws apply?

    Science.gov (United States)

    2010-04-01

    ... Indian Preference § 170.913 Do tribal-specific employment rights and contract preference laws apply? Yes... tribe within the consortium, the benefitting tribe's employment rights and contracting preference laws... 25 Indians 1 2010-04-01 2010-04-01 false Do tribal-specific employment rights and contract...

  6. 78 FR 27341 - Restrictions on Legal Assistance With Respect to Criminal Proceedings in Tribal Courts

    Science.gov (United States)

    2013-05-10

    ... over criminal proceedings; affording the defendant the right to effective assistance of counsel and, if... Criminal Proceedings in Tribal Courts AGENCY: Legal Services Corporation. ACTION: Request for information... funds to be used by grantees to represent eligible persons in any and all criminal proceedings in tribal...

  7. 77 FR 48167 - Approved Tribal-State Class III Gaming Compact; Indian Gaming

    Science.gov (United States)

    2012-08-13

    ... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Approved Tribal--State Class III Gaming Compact; Indian Gaming AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of Approved Tribal--State Class III Gaming Compact. SUMMARY: This notice publishes an approval of the gaming compact between...

  8. 25 CFR 1200.3 - What is the Department's policy on tribal management of trust funds?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What is the Department's policy on tribal management of..., DEPARTMENT OF THE INTERIOR AMERICAN INDIAN TRUST FUND MANAGEMENT REFORM ACT General Provisions § 1200.3 What is the Department's policy on tribal management of trust funds? (a) We will give tribes as much...

  9. Governmentality and Social Capital in Tribal/Federal Relations Regarding Heritage Consultation

    Science.gov (United States)

    2016-04-08

    for improved tribal/federal heritage consultation; this will be accomplished by working collaboratively with tribal heritage specialists toward...during this period and will receive scholarships or fellowships for further studies in science, mathematics , engineering or technology fields...graduated during this period with a degree in science, mathematics , engineering, or technology fields: The number of undergraduates funded by your

  10. 76 FR 41826 - State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC)

    Science.gov (United States)

    2011-07-15

    ... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION Information Security Oversight Office State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC) AGENCY: National Archives and Records... Information Program for State, Local, Tribal, and Private Sector Entities. DATES: The meeting will be held on...

  11. 25 CFR 122.6 - Duties of the Osage Tribal Education Committee.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Duties of the Osage Tribal Education Committee. 122.6 Section 122.6 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES MANAGEMENT OF OSAGE JUDGMENT FUNDS FOR EDUCATION § 122.6 Duties of the Osage Tribal Education Committee. (a) For...

  12. 25 CFR 122.4 - Establishment of the Osage Tribal Education Committee.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Establishment of the Osage Tribal Education Committee. 122.4 Section 122.4 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES... Committee. (a) The Osage Tribe, to maintain its right of Tribal autonomy, shall, at the direction of the...

  13. No Security Without Us: Tribes and Tribalism in Al Anbar Province, Iraq

    Science.gov (United States)

    2014-06-01

    applies as payments for rights to safe passage through tribal territory. Payment of diyya does not necessarily signify an admission of guilt . Eqrar...honor, pride , dignity, and respect—and the converse (avoidance of shame, disgrace, and humiliation)—are key to the ethos of Iraqi tribal society.25

  14. 75 FR 4836 - Renewal of Agency Information Collection for Tribal Energy Resource Agreements

    Science.gov (United States)

    2010-01-29

    ... ``Tribal Energy Resource Agreements (TERAs)'' to the Office of Management and Budget (OMB) for renewal... DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs Renewal of Agency Information Collection for Tribal Energy Resource Agreements AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of request...

  15. 77 FR 67666 - Notice of Proposed Renewal of Information Collection: Application To Withdraw Tribal Funds From...

    Science.gov (United States)

    2012-11-13

    ... Renewal of Information Collection: Application To Withdraw Tribal Funds From Trust Status AGENCY: Office... request renewal approval for the collection of information for Application to Withdraw Tribal Funds from... nature of the information collection and the expected burden and cost. DATES: OMB has up to 60 days to...

  16. 25 CFR 170.402 - What is the tribal role in transportation planning?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is the tribal role in transportation planning? 170... RESERVATION ROADS PROGRAM Planning, Design, and Construction of Indian Reservation Roads Program Facilities Transportation Planning § 170.402 What is the tribal role in transportation planning? (a) All tribes must prepare...

  17. 25 CFR 170.410 - What is the purpose of tribal long-range transportation planning?

    Science.gov (United States)

    2010-04-01

    ... Program Facilities Long-Range Transportation Planning § 170.410 What is the purpose of tribal long-range... 25 Indians 1 2010-04-01 2010-04-01 false What is the purpose of tribal long-range transportation planning? 170.410 Section 170.410 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND...

  18. 28 CFR 90.51 - Program criteria for Indian tribal government discretionary grants.

    Science.gov (United States)

    2010-07-01

    ... government discretionary grants. 90.51 Section 90.51 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED... tribal government discretionary grants. (a) The Assistant Attorney General for the Office of Justice Programs is authorized to make grants to Indian tribal governments for the purpose of developing and...

  19. Connected Traveler

    Energy Technology Data Exchange (ETDEWEB)

    2016-06-01

    The Connected Traveler framework seeks to boost the energy efficiency of personal travel and the overall transportation system by maximizing the accuracy of predicted traveler behavior in response to real-time feedback and incentives. It is anticipated that this approach will establish a feedback loop that 'learns' traveler preferences and customizes incentives to meet or exceed energy efficiency targets by empowering individual travelers with information needed to make energy-efficient choices and reducing the complexity required to validate transportation system energy savings. This handout provides an overview of NREL's Connected Traveler project, including graphics, milestones, and contact information.

  20. Faecal microbiota of healthy adults in south India: Comparison of a tribal & a rural population.

    Science.gov (United States)

    Ramadass, Balamurugan; Rani, B Sandya; Pugazhendhi, Srinivasan; John, K R; Ramakrishna, Balakrishnan S

    2017-02-01

    The relevance of the gut microbiota to human health is increasingly appreciated. The objective of this study was to compare the gut microbiota of a group of adult tribals with that of healthy adult villagers in Tamil Nadu, India. Faeces were collected from 10 healthy tribal adults (TAs) in the Jawadhi hills and from 10 healthy villagers [rural adults (RAs)] in Vellore district, Tamil Nadu. DNA was extracted, and 456 bp segments comprising hypervariable regions 3 and 4 of the 16S rRNA gene were amplified, barcoded and 454 sequenced. Totally 227,710 good-quality reads were analyzed. TAs consumed a millets-based diet, ate pork every day, and did not consume milk or milk products. RAs consumed a rice-based diet with meat intake once a week. In both groups, Firmicutes was the most abundant phylum, followed by Proteobacteria, Bacteroidetes and Actinobacteria. The median Firmicutes-to-Bacteroidetes ratio was 34.0 in TA and 92.9 in RA groups. Actinobacteria were significantly low in TA, possibly due to non-consumption of milk. Clostridium constituted the most abundant genus in both groups, but was significantly more abundant in TAs than RAs, while Streptococcus was significantly more abundant in RA (P<0.05). Analyses of genetic distance revealed that the microbiota were distinctly different between TA and RA, and principal component analysis using 550 distinct taxonomically identifiable sequences revealed a clear separation of microbiota composition in the two groups. Phylogenetic analysis of major microbiota indicated clustering of microbial groups at different major branch points for TAs and RAs. Phylum Firmicutes and genus Clostridium constituted the bulk of the faecal microbiota, while significant differences in composition between the groups were probably due to differences in diet and lifestyle.

  1. 78 FR 61350 - Tribal Mobility Fund Phase I Auction (Auction 902); Short-Form Application Filing Window...

    Science.gov (United States)

    2013-10-03

    ... FEDERAL COMMUNICATIONS COMMISSION [AU Docket No. 13-53; DA 13-1986, DA 13-1978] Tribal Mobility... Access Division: For Tribal Mobility Fund Phase I questions: Patricia Robbins at (202) 418-0660. To... to $50 million in one-time Tribal Mobility Fund Phase I support, will now open at 12 noon Eastern...

  2. 43 CFR 30.267 - What if I disagree with the probate decision regarding tribal purchase option?

    Science.gov (United States)

    2010-10-01

    ... decision regarding tribal purchase option? 30.267 Section 30.267 Public Lands: Interior Office of the Secretary of the Interior INDIAN PROBATE HEARINGS PROCEDURES Tribal Purchase of Interests Under Special Statutes § 30.267 What if I disagree with the probate decision regarding tribal purchase option? If you are...

  3. 78 FR 41959 - State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC); Notice of Meeting

    Science.gov (United States)

    2013-07-12

    ...] State, Local, Tribal, and Private Sector Policy Advisory Committee (SLTPS-PAC); Notice of Meeting AGENCY... Classified National Security Information Program for State, Local, Tribal, and Private Sector Entities. FOR..., announcement is made for the following committee meeting. Name of Committee: State, Local, Tribal, and Private...

  4. 25 CFR 170.915 - May tribal employment taxes or fees be included in an IRR project budget?

    Science.gov (United States)

    2010-04-01

    ... Preference § 170.915 May tribal employment taxes or fees be included in an IRR project budget? Yes. The cost of tribal employment taxes or fees may be included in the budget for an IRR program or project... 25 Indians 1 2010-04-01 2010-04-01 false May tribal employment taxes or fees be included in an IRR...

  5. Final Technical Report. Sault Tribe Building Efficiency Audits of Tribally-Owned Governmental Buildings and Residential Tribal Housing

    Energy Technology Data Exchange (ETDEWEB)

    Holt, Jeffrey W. [Sault Sainte Marie Tribe of Chippewa Indians, Marie, MI (United States)

    2015-03-27

    The Tribe is working to reduce energy consumption and expense in Tribally-owned governmental buildings and low income housing sites. In 2009, the Tribe applied to the U. S. Department of Energy for funding to conduct energy audits of Tribally-owned governmental buildings. Findings from the energy audits would define the extent and types of energy efficiency improvements needed, establish a basis for energy priorities, strategies and action plans, and provide a benchmark for measuring improvements from energy efficiency implementations. In 2010, the DOE awarded a grant in the amount of $95,238 to the Tribe to fund the energy audits of nine governmental buildings and to pay for travel expenses associated with attendance and participation at the DOE annual program reviews. In 2011, the Tribe applied for and was awarded a DOE grant in the amount of $75,509 to conduct energy audits of the remaining 30 Tribally-owned governmental buildings. Repeating mobilization steps performed during the first DOE energy audits grant, the Tribe initiated the second round of governmental building energy audits by completing energy auditor procurement. The selected energy auditor successfully passed DOE debarment and Sault Tribe background clearances. The energy audits contract was awarded to U. P. Engineers and Architects, Inc. of Sault Ste. Marie, Michigan. The Tribe continued mobilizing for the energy audits by providing the energy auditor with one year of electric, gas and water utility invoice copies per building, as well as supplemental building information, such as operating hours. The Tribe also contacted building occupants to coordinate scheduling for the on-site energy audit inspections and arranged for facilities management personnel to guide the energy auditor through the buildings and answer questions regarding building systems.

  6. Making connections

    NARCIS (Netherlands)

    Marion Duimel

    2007-01-01

    Original title: Verbinding maken; senioren en internet. More and more older people are finding their way to the Internet. Many people aged over 50 who have only recently gone online say that a new world has opened up for them. By connecting to the Internet they have the feeling that they

  7. CMS Connect

    Science.gov (United States)

    Balcas, J.; Bockelman, B.; Gardner, R., Jr.; Hurtado Anampa, K.; Jayatilaka, B.; Aftab Khan, F.; Lannon, K.; Larson, K.; Letts, J.; Marra Da Silva, J.; Mascheroni, M.; Mason, D.; Perez-Calero Yzquierdo, A.; Tiradani, A.

    2017-10-01

    The CMS experiment collects and analyzes large amounts of data coming from high energy particle collisions produced by the Large Hadron Collider (LHC) at CERN. This involves a huge amount of real and simulated data processing that needs to be handled in batch-oriented platforms. The CMS Global Pool of computing resources provide +100K dedicated CPU cores and another 50K to 100K CPU cores from opportunistic resources for these kind of tasks and even though production and event processing analysis workflows are already managed by existing tools, there is still a lack of support to submit final stage condor-like analysis jobs familiar to Tier-3 or local Computing Facilities users into these distributed resources in an integrated (with other CMS services) and friendly way. CMS Connect is a set of computing tools and services designed to augment existing services in the CMS Physics community focusing on these kind of condor analysis jobs. It is based on the CI-Connect platform developed by the Open Science Grid and uses the CMS GlideInWMS infrastructure to transparently plug CMS global grid resources into a virtual pool accessed via a single submission machine. This paper describes the specific developments and deployment of CMS Connect beyond the CI-Connect platform in order to integrate the service with CMS specific needs, including specific Site submission, accounting of jobs and automated reporting to standard CMS monitoring resources in an effortless way to their users.

  8. Web-based cancer communication and decision making systems: connecting patients, caregivers, and clinicians for improved health outcomes.

    Science.gov (United States)

    DuBenske, Lori L; Gustafson, David H; Shaw, Bret R; Cleary, James F

    2010-01-01

    Over the cancer disease trajectory, from diagnosis and treatment to remission or end of life, patients and their families face difficult decisions. The provision of information and support when most relevant can optimize cancer decision making and coping. An interactive health communication system (IHCS) offers the potential to bridge the communication gaps that occur among patients, family, and clinicians and to empower each to actively engage in cancer care and shared decision making. This is a report of the authors' experience (with a discussion of relevant literature) in developing and testing a Web-based IHCS-the Comprehensive Health Enhancement Support System (CHESS)-for patients with advanced lung cancer and their family caregivers. CHESS provides information, communication, and coaching resources as well as a symptom tracking system that reports health status to the clinical team. Development of an IHCS includes a needs assessment of the target audience and applied theory informed by continued stakeholder involvement in early testing. Critical issues of IHCS implementation include 1) need for interventions that accommodate a variety of format preferences and technology comfort ranges; 2) IHCS user training, 3) clinician investment in IHCS promotion, and 4) IHCS integration with existing medical systems. In creating such comprehensive systems, development strategies need to be grounded in population needs with appropriate use of technology that serves the target users, including the patient/family, clinical team, and health care organization. Implementation strategies should address timing, personnel, and environmental factors to facilitate continued use and benefit from IHCS.

  9. The transition of childbirth practices among tribal women in Gujarat, India - a grounded theory approach

    Science.gov (United States)

    2013-01-01

    Background Under the National Rural Health Mission, the current emphasis is on achieving universal institutional births through incentive schemes as part of reforms related to childbirth in India. There has been rapid progress in achieving this goal. To understand the choices made as well as practices and perceptions related to childbirth amongst tribal women in Gujarat and how these have been influenced by modernity in general and modernity brought in through maternal health policies. Method A model depicting the transition in childbirth practices amongst tribal women was constructed using the grounded theory approach with; 8 focus groups of women, 5 in depth interviews with traditional birth attendants, women, and service providers and field notes on informal discussions and observations. Results A transition in childbirth practices across generations was noted, i.e. a shift from home births attended by Traditional Birth Attendants (TBAs) to hospital births. The women and their families both adapted to and shaped this transition through a constant ’trade-off between desirable and essential’- the desirable being a traditional homebirth in secure surroundings and the essential being the survival of mother and baby by going to hospital. This transition was shaped by complex multiple factors: 1) Overall economic growth and access to modern medical care influencing women’s choices, 2) External context in terms of the international maternal health discourses and national policies, especially incentive schemes for promoting institutional deliveries, 3) Socialisation into medical childbirth practices, through exposure to many years of free outreach services for maternal and child health, 4) Loss of self reliance in the community as a consequence of role redefinition and deskilling of the TBAs and 5) Cultural belief that intervention is necessary during childbirth aiding easy acceptance of medical interventions. Conclusion In resource poor settings where choices are

  10. Firewood consumption pattern of different tribal communities in Northeast India

    International Nuclear Information System (INIS)

    Bhatt, B.P.; Sachan, M.S.

    2004-01-01

    Excessive use of firewood, as a primary source of energy for domestic purposes, is leading to severe deforestation in the northeastern Himalayan region. Firewood consumption pattern of three tribal communities of Meghalaya, India- Garo, Khasi and Jaintia was studied under varying ecological, socio-economic and socio-cultural conditions. Fuelwood consumption was highest to Khasi community (5.81 kg/capita/day), followed by the Garo (5.32 kg/capita/day) and Jaintia (3.90 kg/capita/day), respectively, irrespective of their socio-economic status. The labour energy expenditure for fuelwood collection was highest for the Jaintia (88.56 MJ/capita/yr) and minimum to Garo (70.64 MJ/capita/yr). The fuelwood is burnt for various activities such as cooking, water heating, space heating, lighting and livestock rearing, etc. Among various activities, cooking required maximum energy. Commercial fuel is beyond the reach of the tribal communities due to their poor socio-economic conditions. The estimated growing stock is unable to sustain the rate of fuel consumption. This information could be utilized for developing appropriate technology for afforestation programmes in this region since 90% of the total population use biomass as an important source of energy

  11. Ethical challenges in connection with the use of coercion: a focus group study of health care personnel in mental health care.

    Science.gov (United States)

    Hem, Marit Helene; Molewijk, Bert; Pedersen, Reidar

    2014-12-04

    In recent years, the attention on the use of coercion in mental health care has increased. The use of coercion is common and controversial, and involves many complex ethical challenges. The research question in this study was: What kind of ethical challenges related to the use of coercion do health care practitioners face in their daily clinical work? We conducted seven focus group interviews in three mental health care institutions involving 65 multidisciplinary participants from different clinical fields. The interviews were recorded and transcribed verbatim. We analysed the material applying a 'bricolage' approach. Basic ethical principles for research ethics were followed. We received permission from the hospitals' administrations and all health care professionals who participated in the focus group interviews. Health care practitioners describe ethical dilemmas they face concerning formal, informal and perceived coercion. They provide a complex picture. They have to handle various ethical challenges, not seldom concerning questions of life and death. In every situation, the dignity of the patient is at stake when coercion is considered as morally right, as well as when coercion is not the preferred intervention. The work of the mental health professional is a complicated "moral enterprise". The ethical challenges deserve to be identified and handled in a systematic way. This is important for developing the quality of health care, and it is relevant to the current focus on reducing the use of coercion and increasing patient participation. Precise knowledge about ethical challenges is necessary for those who want to develop ethics support in mental health care. Better communication skills among health care professionals and improved therapeutic relationships seem to be vital. A systematic focus on ethical challenges when dealing with coercion is an important step forward in order to improve health care in the mental health field.

  12. Intensity of Mobile Phone Use and Health Compromising Behaviours--How Is Information and Communication Technology Connected to Health-Related Lifestyle in Adolescence?

    Science.gov (United States)

    Leena, Koivusilta; Tomi, Lintonen; Arja, Rimpela

    2005-01-01

    The association of mobile phone use with health compromising behaviours (smoking, snuffing, alcohol) was studied in a survey comprising a representative sample of 14-16-year-olds (N=3485) in 2001. Mobile phone was used by 89% of respondents and by 13% for at least 1 h daily. The intensity of use was positively associated with health compromising…

  13. Listening to immigrant latino men in rural Oregon: exploring connections between culture and sexual and reproductive health services.

    Science.gov (United States)

    Harvey, S Marie; Branch, Meredith R; Hudson, Deanne; Torres, Antonio

    2013-03-01

    This study explored factors that affect access to and use of sexual and reproductive health services including family planning among immigrant Latino men residing in rural Oregon communities that have experienced a high growth in their Latino population. In-depth interviews were conducted with 49 sexually active men aged 18 to 30 years who recently immigrated to the United States. Findings from content analysis identified multiple overlapping individual-level barriers, including lack of knowledge, perception of personal risk for unintended pregnancy and STIs, and fear of disease. On a service delivery level, structural factors and the importance of confianza when interacting with providers and clinic staff were dominant themes. The majority of these themes were grounded in a cultural context and linked to men's cultural background, beliefs, and experiences. Examining the needs of immigrant Latino men through this cultural lens may be critically important for improving access and use of sexual and reproductive health services.

  14. Connecting the Dots: State Health Department Approaches to Addressing Shared Risk and Protective Factors Across Multiple Forms of Violence

    Science.gov (United States)

    Wilkins, Natalie; Myers, Lindsey; Kuehl, Tomei; Bauman, Alice; Hertz, Marci

    2018-01-01

    Violence takes many forms, including intimate partner violence, sexual violence, child abuse and neglect, bullying, suicidal behavior, and elder abuse and neglect. These forms of violence are interconnected and often share the same root causes. They can also co-occur together in families and communities and can happen at the same time or at different stages of life. Often, due to a variety of factors, separate, “siloed” approaches are used to address each form of violence. However, understanding and implementing approaches that prevent and address the overlapping root causes of violence (risk factors) and promote factors that increase the resilience of people and communities (protective factors) can help practitioners more effectively and efficiently use limited resources to prevent multiple forms of violence and save lives. This article presents approaches used by 2 state health departments, the Maryland Department of Health and Mental Hygiene and the Colorado Department of Public Health and Environment, to integrate a shared risk and protective factor approach into their violence prevention work and identifies key lessons learned that may serve to inform crosscutting violence prevention efforts in other states. PMID:29189502

  15. Connecting the Dots: State Health Department Approaches to Addressing Shared Risk and Protective Factors Across Multiple Forms of Violence.

    Science.gov (United States)

    Wilkins, Natalie; Myers, Lindsey; Kuehl, Tomei; Bauman, Alice; Hertz, Marci

    Violence takes many forms, including intimate partner violence, sexual violence, child abuse and neglect, bullying, suicidal behavior, and elder abuse and neglect. These forms of violence are interconnected and often share the same root causes. They can also co-occur together in families and communities and can happen at the same time or at different stages of life. Often, due to a variety of factors, separate, "siloed" approaches are used to address each form of violence. However, understanding and implementing approaches that prevent and address the overlapping root causes of violence (risk factors) and promote factors that increase the resilience of people and communities (protective factors) can help practitioners more effectively and efficiently use limited resources to prevent multiple forms of violence and save lives. This article presents approaches used by 2 state health departments, the Maryland Department of Health and Mental Hygiene and the Colorado Department of Public Health and Environment, to integrate a shared risk and protective factor approach into their violence prevention work and identifies key lessons learned that may serve to inform crosscutting violence prevention efforts in other states.

  16. A Human-Centered Design Methodology to Enhance the Usability, Human Factors, and User Experience of Connected Health Systems: A Three-Phase Methodology.

    Science.gov (United States)

    Harte, Richard; Glynn, Liam; Rodríguez-Molinero, Alejandro; Baker, Paul Ma; Scharf, Thomas; Quinlan, Leo R; ÓLaighin, Gearóid

    2017-03-16

    Design processes such as human-centered design, which involve the end user throughout the product development and testing process, can be crucial in ensuring that the product meets the needs and capabilities of the user, particularly in terms of safety and user experience. The structured and iterative nature of human-centered design can often present a challenge when design teams are faced with the necessary, rapid, product development life cycles associated with the competitive connected health industry. We wanted to derive a structured methodology that followed the principles of human-centered design that would allow designers and developers to ensure that the needs of the user are taken into account throughout the design process, while maintaining a rapid pace of development. In this paper, we present the methodology and its rationale before outlining how it was applied to assess and enhance the usability, human factors, and user experience of a connected health system known as the Wireless Insole for Independent and Safe Elderly Living (WIISEL) system, a system designed to continuously assess fall risk by measuring gait and balance parameters associated with fall risk. We derived a three-phase methodology. In Phase 1 we emphasized the construction of a use case document. This document can be used to detail the context of use of the system by utilizing storyboarding, paper prototypes, and mock-ups in conjunction with user interviews to gather insightful user feedback on different proposed concepts. In Phase 2 we emphasized the use of expert usability inspections such as heuristic evaluations and cognitive walkthroughs with small multidisciplinary groups to review the prototypes born out of the Phase 1 feedback. Finally, in Phase 3 we emphasized classical user testing with target end users, using various metrics to measure the user experience and improve the final prototypes. We report a successful implementation of the methodology for the design and development

  17. A Human-Centered Design Methodology to Enhance the Usability, Human Factors, and User Experience of Connected Health Systems: A Three-Phase Methodology

    Science.gov (United States)

    Harte, Richard; Glynn, Liam; Rodríguez-Molinero, Alejandro; Baker, Paul MA; Scharf, Thomas; ÓLaighin, Gearóid

    2017-01-01

    Background Design processes such as human-centered design, which involve the end user throughout the product development and testing process, can be crucial in ensuring that the product meets the needs and capabilities of the user, particularly in terms of safety and user experience. The structured and iterative nature of human-centered design can often present a challenge when design teams are faced with the necessary, rapid, product development life cycles associated with the competitive connected health industry. Objective We wanted to derive a structured methodology that followed the principles of human-centered design that would allow designers and developers to ensure that the needs of the user are taken into account throughout the design process, while maintaining a rapid pace of development. In this paper, we present the methodology and its rationale before outlining how it was applied to assess and enhance the usability, human factors, and user experience of a connected health system known as the Wireless Insole for Independent and Safe Elderly Living (WIISEL) system, a system designed to continuously assess fall risk by measuring gait and balance parameters associated with fall risk. Methods We derived a three-phase methodology. In Phase 1 we emphasized the construction of a use case document. This document can be used to detail the context of use of the system by utilizing storyboarding, paper prototypes, and mock-ups in conjunction with user interviews to gather insightful user feedback on different proposed concepts. In Phase 2 we emphasized the use of expert usability inspections such as heuristic evaluations and cognitive walkthroughs with small multidisciplinary groups to review the prototypes born out of the Phase 1 feedback. Finally, in Phase 3 we emphasized classical user testing with target end users, using various metrics to measure the user experience and improve the final prototypes. Results We report a successful implementation of the

  18. Gendered Connections

    DEFF Research Database (Denmark)

    Jensen, Steffen Bo

    2009-01-01

    This article explores the gendered nature of urban politics in Cape Town by focusing on a group of female, township politicians. Employing the Deleuzian concept of `wild connectivity', it argues that these politically entrepreneurial women were able to negotiate a highly volatile urban landscape...... by drawing on and operationalizing violent, male networks — from struggle activists' networks, to vigilante groups and gangs, to the police. The fact that they were women helped them to tap into and exploit these networks. At the same time, they were restricted by their sex, as their ability to navigate...... space also drew on quite traditional notions of female respectability. Furthermore, the article argues, the form of wild connectivity to an extent was a function of the political transition, which destabilized formal structures of gendered authority. It remains a question whether this form...

  19. Colville Tribal Fish Hatchery, 2000-2001 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Arteburn, John; Christensen, David (Colville Confederated Tribes, Nespelem, WA)

    2003-03-01

    Federal hydropower projects as well as private power utility systems have had a devastating impact upon anadromous fish resources that once flourished in the Columbia River and it's tributaries. Several areas were completely blocked to anadromous fish by dams, causing the native people who's number one food resource was salmon to rely entirely upon resident fish to replace lost fisheries resources. The Colville Tribal Fish Hatchery is an artificial production program to partially mitigate for anadromous fish losses in the ''Blocked Area'' above Chief Joseph and Grand Coulee Dams pursuant to Resident Fish Substitution Policy of the Northwest Power Planning Councils Fish and Wildlife Program. The hatchery was accepted into the Council's Fish and Wildlife Program in 1984 as a resident fish substitution measure and the hatchery was completed in 1990. The minimum production quota for this facility is 22,679 kg (50,000 lbs.) of trout. To achieve this quota the Colville Tribal Hatchery was scheduled to produce 174,000 fingerling rainbow trout (5 grams/fish), 330,000 sub-yearling rainbow trout (15 grams/fish), 80,000 legal size rainbow trout (90 grams/fish), 196,000 fingerling brook trout (5 grams/fish), 330,000 subyearling brook trout (15 grams/fish) and 60,000 lahontan cutthroat trout (15 grams/fish) in 2001. All fish produced are released into reservation waters, including boundary waters in an effort to provide a successful subsistence /recreational fishery for Colville Tribal members as well as a successful non-member sport fishery. The majority of the fish distributed from the facility are intended to provide a ''carry-over'' fishery. Fish produced at the facility are intended to be capable of contributing to the natural production component of the reservation fish populations. Contribution to the natural production component will be achieved by producing and releasing fish of sufficient quality and quantity for

  20. Colville Tribal Fish Hatchery, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Arteburn, John; Christensen, David (Colville Confederated Tribes, Nespelem, WA)

    2003-03-01

    Federal hydropower projects as well as private power utility systems have had a major negative impact upon anadromous fish resources that once flourished in the Columbia River and it's tributaries. Several areas have been completely blocked to anadromous fish by dams, destroying the primary food resource (salmon) for many native people forcing them to rely heavily upon resident fish to replace these lost resources. The Colville Tribal Fish Hatchery is an artificial production program that addresses the loss of anadromous fish resources in the Upper Columbia Sub-Region within the ''blocked area'' created by the construction of Chief Joseph and Grand Coulee Dams. This project enhances resident fisheries located in the Intermountain and Columbia Cascade Provinces, specifically within the Colville Reservation portion of the Upper Columbia, SanPoil and Oakanogan Sub-Basins. The project partially mitigates for anadromous fish losses through protection/augmentation of resident fish populations to enhance fishery potential (i.e. in-place, out-of-kind mitigation) pursuant to Resident Fish Substitution Policy of the Northwest Power Planning Councils Fish and Wildlife Program. The hatchery was accepted into the Council's Fish and Wildlife Program in 1984 and the hatchery was completed in 1990. The Colville Tribal Hatchery (CTH) is located on the northern bank of the Columbia River just down stream of the town of Bridgeport, Washington that is just down stream of Chief Joseph Dam. The hatchery is located on land owned by the Colville Tribes. The minimum production quota for this facility is 22,679 kg (50,000 lbs.) of trout annually. All fish produced are released into reservation waters, including boundary waters in an effort to provide a successful subsistence/recreational fishery for Colville Tribal members and provide for a successful nonmember sport fishery. The majority of the fish distributed from the facility are intended to support &apos

  1. Stakeholder engagement: a model for tobacco policy planning in Oklahoma Tribal communities.

    Science.gov (United States)

    Blanchard, Jessica W; Petherick, J T; Basara, Heather

    2015-01-01

    Oklahoma law pre-empts local governments from enacting smoking restrictions inside public places that are stricter than state law, but the sovereign status of Oklahoma's 38 Tribal nations means they are uniquely positioned to stand apart as leaders in the area of tobacco policy. To provide recommendations for employing university-Tribal partnerships as an effective strategy for tobacco policy planning in tribal communities. Using a community-based participatory research approach, researchers facilitated a series of meetings with key Tribal stakeholders in order to develop a comprehensive tobacco policy plan. Ongoing engagement activities held between January 2011 and May 2012, including interdepartmental visits, facility site tours, interviews, and attendance at tribal activities, were critical for fostering constructive and trusting relationships between all partners involved in the policy planning process. The 17-month collaborative engagement produced a plan designed to regulate the use of commercial tobacco in all Tribally owned properties. The extended period of collaboration between the researchers and Tribal stakeholders facilitated: (1) levels of trust between partners; and (2) a steadfast commitment to the planning process, ensuring completion of the plan amid uncertain political climates and economic concerns about tobacco bans. Extended engagement produced an effective foundation for policy planning that promoted collaboration between otherwise dispersed Tribal departments, and facilitated communication of diverse stakeholder interests related to the goal of tobacco policies. The findings of this study provide useful strategies and best practices for those looking to employ Tribal-university partnerships as strategies for tobacco control planning and policy-based research. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  2. Multi-generational perspectives on health, cancer, and biomedicine: Northeastern Native American perspectives shaped by mistrust.

    Science.gov (United States)

    Canales, Mary K; Weiner, Diane; Samos, Markos; Wampler, Nina S

    2011-08-01

    Cancer is the second leading cause of death among Native Americans, who have-some of the poorest cancer survival rates of any race/ethnicity nationwide. Considering the cancer burden experienced by Native Americans and the lack of research exploring Northeastern tribal communities' cancer experiences, a qualitative investigation of Native Americans' cancer coping strategies and health education needs was undertaken. Data were collected through group (74) and individual (17) interviews with 91 Native Americans from the Northeast. Relationships between intergenerational mistrust, individual mistrust, and utilization of biomedical health care systems for Northeastern Native Americans are presented. Trust is central to the provider-patient relationship and the foundation for developing and maintaining connections to Native American communities. Intergenerational mistrust, shaped by historical and contemporary issues of prejudice and miscommunication, affect cancer health experiences and views. Approaches for reducing mistrust and building relationships between health care providers and Native communities are highlighted.

  3. Cosmic Connections

    CERN Document Server

    Ellis, Jonathan Richard

    2003-01-01

    A National Research Council study on connecting quarks with the cosmos has recently posed a number of the more important open questions at the interface between particle physics and cosmology. These questions include the nature of dark matter and dark energy, how the Universe began, modifications to gravity, the effects of neutrinos on the Universe, how cosmic accelerators work, and whether there are new states of matter at high density and pressure. These questions are discussed in the context of the talks presented at this Summer Institute.

  4. Considerations on scientific research concerned with the clarification of health injuries in connection with the Thule accident 1968

    International Nuclear Information System (INIS)

    1995-06-01

    On the basis of the existing information concerning the character of the Thule accident, the investigations that followed it, and the opinions of key persons involved, the expert group concludes, that the symptoms and the illnesses described among the Thule workers do not originate from exposure to radiation. The expert group however recommends implementation of certain supplementary investigations. The purpose of further examination is to establish a sound and differentiated basis for evaluation of the health complaints presented by the Thule workers after 1986. The expert group considered its foremost task to be the evaluation of the single factors in the entire sequence of events, and an indication of the less extensive and less expensive investigation areas, which could lead to further elucidation. These areas of concern are : the composition of the bomb, the construction specifications of the aircraft involved and composition of its aircraft fuel, the radioactive and non-radioactive exposure of the population, morbidity and mortality (checking of the epidemiological register), the increased rate of parapsoriasis and other dermatological problems, and psychologic factors and psychosomatic stress. These investigations are recommended to be carried out by research sociologists, physicians and psychologists with experience in this field, assisted by a consultant group of international standing, for instance from Norway and USA. (EG) 65 refs

  5. Ethical challenges in connection with the use of coercion. A focus group study of health care personnel in mental health care

    NARCIS (Netherlands)

    Hem, M.H.; Molewijk, A.C.; Pedersen, R.

    2014-01-01

    Background: In recent years, the attention on the use of coercion in mental health care has increased. The use of coercion is common and controversial, and involves many complex ethical challenges. The research question in this study was: What kind of ethical challenges related to the use of

  6. Battery impedance spectroscopy using bidirectional grid connected

    Indian Academy of Sciences (India)

    Keywords. Impedance spectroscopy; grid connection; battery converter; state of charge; health monitoring ... The converter is grid connected and controlled to operate at unity power factor. Additional ... Sadhana. Current Issue : Vol. 43, Issue 6.

  7. Continuous weeklong measurements of indoor particle levels in a Minnesota Tribal Casino Resort.

    Science.gov (United States)

    Zhou, Zheng; Bohac, David; Boyle, Raymond G

    2016-08-24

    Secondhand smoke (SHS) exposure for workers and patrons in hospitality venues is a persistent and significant public health concern. We designed this study to provide a comprehensive assessment of SHS exposure inside an Indian Tribal Casino in Minnesota. Real-time fine particulate matter (PM2.5) concentrations were measured at multiple locations for up to 7 days. The field monitoring provided information on the day of week and time of day variation of SHS exposure, as well as comparisons between smoking and non-smoking areas. Indoor PM2.5 level was nearly 13 times the concurrent outdoor PM2.5 level. Gaming floor hourly PM2.5 level was highest on Saturday night, averaged at 62.9 μg/m(3). Highest PM2.5 concentration was observed in smoking-permitted employee break room, reaching 600 μg/m(3). PM2.5 readings in non-smoking sections exhibited same temporal pattern as the readings in smoking sections. The results show that indoor concentration of PM2.5 is substantially higher than the outdoor level, posing health risks to casino workers and patrons. SHS can migrate into adjacent non-smoking areas very quickly. The casino's ventilation system did not fully eliminate SHS. A completely smoke-free casino would be the only way to fully protect non-smoking patrons and employees from the dangers of tobacco smoke.

  8. ETHNO-MEDICOBOTANY OF SOME TRIBAL COMMUNITIES OF BANKURA DISTRICT, WEST BENGAL, INDIA

    Directory of Open Access Journals (Sweden)

    Manasi Mandal

    2014-06-01

    Full Text Available Investigation and documentation of the status of medicinal plants and associated knowledge was conducted in Taldangra block situated at south-western part of Bankura district. Data was collected and evaluated with a questionnaire survey, semi-structured interviews, field observations and vegetation surveys. 16 medicinal plant species used to treat 40 different ailments were recorded. Leaves are the most commonly collected plant parts for medicinal purposes. Much of the ethno-medicinal knowledge is concentrated in elderly members of the community. The medicinal plants are facing threats from agricultural expansion, wood extraction and overgrazing as informed by the local authorities. Consequently, medicinal plant resources are declining with time. The study aims to assess the contribution of nonconventional medicinal plants towards community health care. A total of 62 knowledge holders from the tribal community were interviewed and medicinal uses for 16 plants were recorded. The study illustrates that medicinal plant diversity is important for community health care, which in turn, ensures conservation, awareness creation towards sustainable utilization and management of these medicinal plants diversity

  9. Mental Health Service Utilization before and after Receipt of a Service-Connected Disability Award for PTSD: Findings from a National Sample.

    Science.gov (United States)

    Sripada, Rebecca K; Hannemann, Claire M; Schnurr, Paula P; Marx, Brian P; Pollack, Stacey J; McCarthy, John F

    2018-04-17

    To determine patterns of mental health service use before and after VA disability compensation awards for posttraumatic stress disorder (PTSD). A 10 percent random sample of VHA-enrolled Veterans with new or increased PTSD service connection between 2012 and 2014 (n = 22,249). We used latent trajectory analysis to identify utilization patterns and multinomial logistic regression to assess associations between Veteran characteristics and trajectory membership. We assessed receipt of VHA mental health encounters in each of the 52 weeks prior to and following PTSD disability rating or rating increase. The best fitting model had five groups: No Use (36.6 percent), Low Use (37.7 percent), Increasing Use (9.4 percent), Decreasing Use (11.2 percent), and High Use (5.1 percent). Adjusting for demographic characteristics and compared with the No Use group, Veterans in the other groups were more likely to reside closer to a VHA facility, receive a higher PTSD disability rating, and screen positive for military sexual trauma. Service use remained stable (80 percent) or increased (9 percent) for the vast majority of Veterans. Service utilization declined for only 11 percent. Data did not indicate substantial service discontinuation following rating. Low VHA service utilization suggests opportunities to enhance outreach for Veterans with PTSD-related disability benefits. © Published 2018. This article is a U.S. Government work and is in the public domain in the USA.

  10. Indigenous knowledge of folk medicines among tribal minorities in Khyber Pakhtunkhwa, northwestern Pakistan.

    Science.gov (United States)

    Sher, Hassan; Aldosari, Ali; Ali, Ahmad; de Boer, Hugo J

    2015-05-26

    Mapping ethnomedicinal plants and associated indigenous knowledge of folk medicines can provide a comprehensive overview of individual herbs employed in health care. Reliance on medicinal plants in remote parts of northern Pakistan is high, especially among women, but no research has investigated specifically which plants are used. This study investigated indigenous knowledge of folk medicines among tribal minorities in selected sites in upper Swat, Buner and Chitral Districts in Khyber Pakhtunkhwa Province. Interviews were conducted with gender-specific focus groups using questionnaires and standardized data sheets, followed by forest walks in each of the visited areas. General medicinal herb use, preparations, storage, marketing and collection habits for each gender group were ascertained from the questionnaires. In total 168 women and 390 men were interviewed and provided information on 127 different shared medicinal species. Species use consensus among the informants ranged from 2.3% to 83.3%, with Cynodon dactylon, Avena sativa, Celtis australis, Datura stramonium, Solanum nigrum, Skimmia laureola, Spiraea nervosa, Ziziphus jujuba, Rumex hastatus, Plantago lanceolata, Lathyrus aphaca and Ficus palmata having the highest reported consensus. The survey also revealed that a number of medicinal species were exploited by the community for both marketing and personal use, and many of these species were reported as being rare, vulnerable or even endangered. The results revealed that women in all the three districts were important custodians of medicinal plant knowledge, but elder women in general and the women from Buner district in particular had a superior understanding of folk medicine. The forest walks revealed that women׳s traditional medicinal knowledge was based on a more limited diversity of plant species. People in tribal communities have an expressed interest in learning efficient techniques for medicinal plant collection, preparation, storage and

  11. Tribal motor vehicle injury prevention programs for reducing disparities in motor vehicle-related injuries.

    Science.gov (United States)

    West, Bethany A; Naumann, Rebecca B

    2014-04-18

    A previous analysis of National Vital Statistics System data for 2003-2007 that examined disparities in rates of motor vehicle-related death by race/ethnicity and sex found that death rates for American Indians/Alaska Natives were two to four times the rates of other races/ethnicities. To address the disparity in motor vehicle-related injuries and deaths among American Indians/Alaska Natives, CDC funded four American Indian tribes during 2004-2009 to tailor, implement, and evaluate evidence-based road safety interventions. During the implementation of these four motor vehicle-related injury prevention pilot programs, seat belt and child safety seat use increased and alcohol-impaired driving decreased. Four American Indian/Alaska Native tribal communities-the Tohono O'odham Nation, the Ho-Chunk Nation, the White Mountain Apache Tribe, and the San Carlos Apache Tribe-implemented evidence-based road safety interventions to reduce motor vehicle-related injuries and deaths. Each community selected interventions from the Guide to Community Preventive Services and implemented them during 2004-2009. Furthermore, each community took a multifaceted approach by incorporating several strategies, such as school and community education programs, media campaigns, and collaborations with law enforcement officers into their programs. Police data and direct observational surveys were the main data sources used to assess results of the programs. Results included increased use of seat belts and child safety seats, increased enforcement of alcohol-impaired driving laws, and decreased motor vehicle crashes involving injuries or deaths. CDC's Office of Minority Health and Health Equity selected the intervention analysis and discussion as an example of a program that might be effective for reducing motor vehicle-related injury disparities in the United States. The Guide to Community Preventive Services recognizes these selected interventions as effective; this report examines the

  12. Places Connected:

    DEFF Research Database (Denmark)

    Hansen, Annette Skovsted

    This paper argues that development assistance contributed to the globalization of the 20th century by financing truly global networks of people. By focusing on the networks financed by development assistance bound by the national histories of Denmark and Japan, I illustrate how the people who...... experiences of place, however, when it is often the same people who experience many different places? Along with many other so-called donors in the 1950s, Denmark and Japan chose to invest in the education of own and other nationals involved in development and thereby financed personal connections between...... individuals throughout the world. Development assistance , where there are two or three links only between a Bangladeshi farmer, a street child in Sao Paolo and the President of the United States, the Queen of Denmark, or a suburban house wife in Japan, who has never left the Osaka area, but mothered a United...

  13. 76 FR 44394 - Public Transportation on Indian Reservations Program; Tribal Transit Program

    Science.gov (United States)

    2011-07-25

    ... DEPARTMENT OF TRANSPORTATION Federal Transit Administration Public Transportation on Indian... the Public Transportation on Indian Reservations Program (Tribal Transit Program) (TTP). This program... of the Census and may be used for public transportation capital projects, operating costs of...

  14. 78 FR 27284 - Public Transportation on Indian Reservations Program; Tribal Transit Program

    Science.gov (United States)

    2013-05-09

    ... DEPARTMENT OF TRANSPORTATION Federal Transit Administration Public Transportation on Indian... Federal Register Notice (77 FR 67439) Fiscal Year 2013 Public Transportation on Indian Reservation Program... formula apportionment to eligible Indian tribes providing public transportation on tribal lands. FTA...

  15. Kayenta Township Building & Safety Department, Tribal Green Building Code Summit Presentation

    Science.gov (United States)

    Tribal Green Building Code Summit Presentation by Kayenta Township Building & Safety Department showing how they established the building department, developed a code adoption and enforcement process, and hired staff to carry out the work.

  16. Tribal corridor management planning : model, case study, and guide for Caltrans District I.

    Science.gov (United States)

    2011-06-01

    In Northern California, tribal governments and personnel of the California Department of Transportation (Caltrans) District 1, have applied innovative context-sensitive solutions to meet a variety of transportation challenges along state highways tha...

  17. 76 FR 12273 - 8(a) Business Development Program Regulation Changes; Tribal Consultation

    Science.gov (United States)

    2011-03-07

    ... utilizing the data. SBA expects that two Participants owned by the same tribe, ANC, NHO or CDC will submit identical data describing the benefits provided by the tribe, ANC, NHO or CDC. II. Tribal Consultation...

  18. Report: EPA Needs an Agency-Wide Plan to Provide Tribal Solid Waste Management Capacity Assistance

    Science.gov (United States)

    Report #11-P-0171, March 21, 2011. EPA cannot determine whether its efforts are assisting tribal governments in developing the capacity to manage solid waste or reduce the risks of open dumps in Indian country.

  19. Tribal corridor management planning : model, case study, and guide for Caltrans District 1.

    Science.gov (United States)

    2011-06-01

    In Northern California, tribal governments and personnel of the California Department of Transportation (Caltrans) District 1, have applied innovative context-sensitive solutions to meet a variety of transportation challenges along state highways tha...

  20. CCR Certification Form for Wyoming or EPA R8 Tribal Community Water Systems

    Science.gov (United States)

    The CCR Certification Form can be used to certify that community water systems in Wyoming or on Tribal Lands in EPA Region 8 have completed and distributed their annual Consumer Confidence Report (CCR) or water quality report.

  1. 77 FR 39244 - Office for State, Tribal, Local and Territorial Support (OSTLTS); Meeting

    Science.gov (United States)

    2012-07-02

    ... collaboration and informed decision making. The purpose of the CDC/ ATSDR Tribal Advisory Committee or TAC is to... prevention, the Strategic National Stockpile (strategically placed medicine and supplies for use in national...

  2. DEVELOPMENT OF A COMPUTER ASSISTED PERSONAL INTERVIEW SOFTWARE SYSTEM FOR COLLECTION OF TRIBAL FISH CONSUMPTION DATA

    Science.gov (United States)

    Abstract: Native Americans who consume seafood often have higher seafood consumption rates and consequently greater exposures to contaminants in seafood than the general U.S. population. Defensible and quantifiable tribal seafood consumption rates are needed for development of ...

  3. Dental caries and the associated factors influencing it in tribal, suburban and urban school children of Tamil Nadu, India: a cross sectional study

    Directory of Open Access Journals (Sweden)

    J. Baby John

    2015-03-01

    Full Text Available Background. The study was planned to assess the prevalence of dental caries among tribal, suburban and urban children of Tiruchengode and Erode of Tamil Nadu state, India. The objective of the study was to assess the association of dental caries with family background, dental service availability, transportation and knowledge on preventive dental measures among these three groups. Design and methods. Cross-sectional study. A total of 1028 school children in the age range of 9-12 years from various government schools located in Palamalai and Kolli Hills (tribal, Tiruchengode (suburban and Erode (urban, Tamil Nadu, were included in the study. Decayed, filled, and missing teeth (DMFT, decayed and filled teeth (dft and Significant Caries Index were recorded. A specially prepared questionnaire was used to record all the data regarding oral hygiene practices, socioeconomic background, dental treatment availability, parent’s education level were used for the study. ANOVA t-test and post hoc test were used for comparing quantitative variables between the 3 subgroups. Results. The tribal school children had 89.3% caries prevalence, where as it was 77% in suburban and 55% in urban school children. The mean DMFT score among tribal, suburban and urban school children were statistically significant different (P=0.001 between the three groups. There was a highly significant difference (P=0.001 in the mean DMFT score based on brushing frequency. There was a statistically significant difference (P=0.018 in the mean DMFT scores in the urban group based on the mothers education status. There were no statistically significant differences in the mean DMFT scores based on the presence or absence of television in their house and the parents’ income. Conclusions. Oral hygiene practices, dietary habits and access to dental care services played an important role in prevalence of dental caries. It was observed that the socioeconomic status, parents’ educational

  4. THE CONNECTION OF LEARNED HELPLESSNESS, WILL-POWER DEVELOPMENT AND SOMATIC HEALTH OF PRE-SCHOOLERS: THE CORE AND WAYS OF PROBLEM SOLVING

    Directory of Open Access Journals (Sweden)

    Olesya Vladimirovna Volkova

    2013-09-01

    Full Text Available The article concerns the detailed theoretically-methodological analysis of the modern psychological researches devoted to studying of a “helplessness” phenomenon. The question of studying the relevance of “learned helplessness” phenomenon interrelation with somatic health of the person in the course of his human development is raised. The problem of interrelation of will-power development level with specifics of formation the phenomenon of "learned helplessness" is raised. The special role in this research is given to the pre-school age (the object of the study as one of the most important periods in the process of human development. The presented integrative approach includes both inter and intra personal factors determining children’s development in the pre-school age, in particular specific features of the age, somatic health, specific child’s health and disease perception, special type of parental attitude to the child’s state of health, special type of parental attitude to the child determining the learned helplessness formation. Expediency of mechanisms specifics of formation the "learned helplessness" from the position of psychosomatic approaches, also taking into account basic provisions of the modern cultural and historical concept is proved.Purpose of the research is to study the connection between the phenomena of “learned helplessness” and the level of will-power development in the pre-school age combined with the weakened somatic health, also developing the special program aimed to prevent the formation of learned helplessness in the pre-school age.Methodology. The theoretical and methodological basis of the research is presented with culturally historical approach in Psychology, principle of system and psycho-somatic approach, ideas of L.S. Vygotsky about the social situation of development and the zone of nearest development as the most important circumstances of child’s personality formation, conceptual theory

  5. Penobscot Indian Nation's Strategic Energy Planning Efficiency on tribal Lands

    Energy Technology Data Exchange (ETDEWEB)

    Sockalexis, Mike; Fields, Brenda

    2006-11-30

    The energy grant provided the resources to evaluate the wind, hydro, biomass, geothermal and solar resource potential on all Penobscot Indian Naiton's Tribal lands. The two objectives address potential renewable energy resources available on tribal lands and energy efficiency measures to be taken after comprehensive energy audits of commercial facilities. Also, a Long Term Strategic Energy Plan was developed along with a plan to reduce high energy costs.

  6. U.S. Department of Energy Office of Legacy Management's Tribal Interactions - 12513

    Energy Technology Data Exchange (ETDEWEB)

    Gil, April; Shafer, David [U.S. Department of Energy Office of Legacy Management, Grand Junction, Colorado 81503 (United States); Elmer, John [S.M. Stoller Corporation, Grand Junction, Colorado 81503 (United States)

    2012-07-01

    Effective government-to-government interactions with tribal nations and maintaining stakeholder relations with members of tribes are increasingly important to the U.S. Department of Energy (DOE) Office of Legacy Management (LM). As of October 2011, LM was responsible for long-term surveillance and maintenance of 87 sites and facilities in the continental U.S. and Puerto Rico, including some sites on tribal lands. The sites on tribal lands can affect natural resources that are managed or used by tribes, or the sites can potentially affect areas of cultural significance to tribal nations in Alaska, Arizona, Colorado, New Mexico, Utah, Washington, and Wyoming. Tribes are separate sovereign governments recognized in the U.S. Constitution and are significant stakeholders for LM sites. The tribes are individual nations with diverse histories, cultures, customs, religions, and laws. LM has regular communication with the affected tribes to inform members of issues, to allow the tribe to participate in decision making, to provide technical reviews, and to ensure tribal concerns are addressed. Four LM sites are in the Navajo Nation. Three of those sites contain uranium mill tailings disposal cells regulated under long-term surveillance and maintenance programs that require monitoring and annual inspections. The fourth site was remediated but still has a groundwater plume that LM is responsible for. DOE and LM have worked with the Navajo Nation for almost 30 years on technical issues and to ensure tribal concerns are addressed. (authors)

  7. Nez Perce Tribal Hatchery Complex; Operations and Maintenance and 2005 Annual Operation Plan, 2004 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Harty, Harold R.; Lundberg, Jeffrey H.; Penney, Aaron K. (Nez Perce Tribe, Lapwai, ID)

    2005-02-01

    The Nez Perce Tribal Hatchery (NPTH) responds directly to a need to mitigate for naturally-reproducing salmon in the Clearwater River subbasin. The overall goal is to produce and release fish that will survive to adulthood, spawn in the Clearwater River subbasin and produce viable offspring that will support future natural production and genetic integrity. Several underlying purposes of fisheries management will be maintained through this program: (1) Protect, mitigate, and enhance Columbia River subbasin anadromous fish resources. (2) Develop, reintroduce, and increase natural spawning populations of salmon within the Clearwater River subbasin. (3) Provide long-term harvest opportunities for Tribal and non-Tribal anglers within Nez Perce Treaty lands within four generations (20 years) following project completion. (4) Sustain long-term fitness and genetic integrity of targeted fish populations. (5) Keep ecological and genetic impacts to non-target populations within acceptable limits. (6) Promote Nez Perce Tribal Management of Nez Perce Tribal hatchery Facilities and production areas within Nez Perce Treaty lands. Nez Perce Tribal Hatchery is a supplementation program that will rear and release spring, fall, and early-fall stocks of chinook salmon. Two life stages of spring chinook salmon will be released: parr and presmolts. Fall and early-fall chinook salmon will be released as subyearling smolts. The intent of NPTHC is to use conventional hatchery and Natural Rearing Enhancement Systems (NATURES) techniques to develop, increase and restore natural populations of spring and fall chinook salmon in the Clearwater River subbasin.

  8. Effect of tribal language use on colorectal cancer screening among American Indians.

    Science.gov (United States)

    Gonzales, Angela A; Garroutte, Eva; Ton, Thanh G N; Goldberg, Jack; Buchwald, Dedra

    2012-12-01

    American Indians have one of the lowest colorectal cancer (CRC) screening rates for any racial/ethnic group in the U.S., yet reasons for their low screening participation are poorly understood. We examine whether tribal language use is associated with knowledge and use of CRC screening in a community-based sample of American Indians. Using logistic regression to estimate the association between tribal language use and CRC test knowledge and receipt we found participants speaking primarily English were no more aware of CRC screening tests than those speaking primarily a tribal language (OR = 1.16 [0.29, 4.63]). Participants who spoke only a tribal language at home (OR = 1.09 [0.30, 4.00]) and those who spoke both a tribal language and English (OR = 1.74 [0.62, 4.88]) also showed comparable odds of receipt of CRC screening. Study findings failed to support the concept that use of a tribal language is a barrier to CRC screening among American Indians.

  9. Multiplexed SNP Typing of Ancient DNA Clarifies the Origin of Andaman mtDNA Haplogroups amongst South Asian Tribal Populations

    Science.gov (United States)

    Endicott, Phillip; Metspalu, Mait; Stringer, Chris; Macaulay, Vincent; Cooper, Alan; Sanchez, Juan J.

    2006-01-01

    The issue of errors in genetic data sets is of growing concern, particularly in population genetics where whole genome mtDNA sequence data is coming under increased scrutiny. Multiplexed PCR reactions, combined with SNP typing, are currently under-exploited in this context, but have the potential to genotype whole populations rapidly and accurately, significantly reducing the amount of errors appearing in published data sets. To show the sensitivity of this technique for screening mtDNA genomic sequence data, 20 historic samples of the enigmatic Andaman Islanders and 12 modern samples from three Indian tribal populations (Chenchu, Lambadi and Lodha) were genotyped for 20 coding region sites after provisional haplogroup assignment with control region sequences. The genotype data from the historic samples significantly revise the topologies for the Andaman M31 and M32 mtDNA lineages by rectifying conflicts in published data sets. The new Indian data extend the distribution of the M31a lineage to South Asia, challenging previous interpretations of mtDNA phylogeography. This genetic connection between the ancestors of the Andamanese and South Asian tribal groups ∼30 kya has important implications for the debate concerning migration routes and settlement patterns of humans leaving Africa during the late Pleistocene, and indicates the need for more detailed genotyping strategies. The methodology serves as a low-cost, high-throughput model for the production and authentication of data from modern or ancient DNA, and demonstrates the value of museum collections as important records of human genetic diversity. PMID:17218991

  10. Connection between wind turbine noise and health effects. Prepared for the National Board of Health, Denmark; Sammenhaeng mellem vindmoellestoej og helbredseffekter. Udfoert for Sundhedsstyrelsen

    Energy Technology Data Exchange (ETDEWEB)

    Holm Pedersen, T

    2011-03-15

    The purpose of this report is, through a limited literature study, to elucidate the direct and probable indirect health effects due to wind turbine noise / vibrations / shadow effect. It is shown that the wind turbine noise's character is not substantially different from many other sources of noise in our daily lives. The sound levels are rather low, seen in relation to the sound impacts that we normally are exposed to, and that also includes low-frequency noise. Audible infrasound does not occur. Noise annoyance is the most significant effect of noise from wind turbines. The noise annoyance from wind turbines is greater than from road traffic at the same level of noise. At the noise limit of 39 dB for noise-sensitive land use one must expect that for wind turbines about 10% is highly annoying. Sleep disorders can occur. There is a sharp increase in the percentage of sleep disorders just above the noise limits. There was not found a direct correlation between stress and noise. By contrast, significant correlations between stress symptoms and noise nuisance are found. Existing studies show no significant correlations to chronic diseases, diabetes, high blood pressure and cardiovascular diseases. The literature reports on phenomenon called vibro-acoustic diseases and wind turbine syndrome, without, however, a proven causal dose-response relationship or without conducted studies where it is compared to control groups. These phenomena are not considered real for wind turbines. On the present basis, there are no demonstrated direct health effects due to wind turbine noise, though there are observed correlation between noise and stress symptoms Shadows from the rotating blades are annoying, but cannot induce epileptic attacks. (LN)

  11. Connection between wind turbine noise and health effects. Prepared for the National Board of Health, Denmark; Sammenhaeng mellem vindmoellestoej og helbredseffekter. Udfoert for Sundhedsstyrelsen

    Energy Technology Data Exchange (ETDEWEB)

    Holm Pedersen, T.

    2011-03-15

    The purpose of this report is, through a limited literature study, to elucidate the direct and probable indirect health effects due to wind turbine noise / vibrations / shadow effect. It is shown that the wind turbine noise's character is not substantially different from many other sources of noise in our daily lives. The sound levels are rather low, seen in relation to the sound impacts that we normally are exposed to, and that also includes low-frequency noise. Audible infrasound does not occur. Noise annoyance is the most significant effect of noise from wind turbines. The noise annoyance from wind turbines is greater than from road traffic at the same level of noise. At the noise limit of 39 dB for noise-sensitive land use one must expect that for wind turbines about 10% is highly annoying. Sleep disorders can occur. There is a sharp increase in the percentage of sleep disorders just above the noise limits. There was not found a direct correlation between stress and noise. By contrast, significant correlations between stress symptoms and noise nuisance are found. Existing studies show no significant correlations to chronic diseases, diabetes, high blood pressure and cardiovascular diseases. The literature reports on phenomenon called vibro-acoustic diseases and wind turbine syndrome, without, however, a proven causal dose-response relationship or without conducted studies where it is compared to control groups. These phenomena are not considered real for wind turbines. On the present basis, there are no demonstrated direct health effects due to wind turbine noise, though there are observed correlation between noise and stress symptoms Shadows from the rotating blades are annoying, but cannot induce epileptic attacks. (LN)

  12. The First Hydrology (Geoscience) Degree at a Tribal College or University: Salish Kootenai College

    Science.gov (United States)

    Lesser, G.; Berthelote, A. R.

    2010-12-01

    A new Hydrology Degree Program was developed at Salish and Kootenai College in western Montana. This program will begin to address the fact that our nation only awards 20 to 30 Geoscience degrees annually to Native American students. Previously absent from SKC and the other 36 Tribal Colleges or Universities (TCU) Science, Technology, Engineering, and Mathematics (STEM) related programs are specific Geoscience disciplines, particularly those focusing on hydrological and water based sciences. Though 23 TCU’s offer some classes to supplement their environmental science or natural resource programs. This program is timely and essential for addressing the concerns that Native Americans have who maintain sovereignty over approximately 20% of our nation’s fresh water resources which are becoming more stressed each year. The overall objective of this new SKC Hydrology degree program is to produce students who are able to “give voice” to the perspectives of Native peoples on natural resources and particularly water-related issues, including water rights, agriculture, environmental health (related to water), beliefs and spirituality related to water, and sustainability of water resources. It will provide the opportunity for interdisciplinary study in physical, chemical, and biological water resources and their management. Students will gain theoretical, conceptual, computational, and practical knowledge/experiences in quantifying, monitoring, qualifying, and managing today’s water resource challenges with particular emphasis on Tribal lands. Completion of the Associate of Science Degree will provide the student with the necessary skills to work as a hydrology- water quality- or geo-technician within the Reservation area, the U. S. Forest Service, the Environmental Protection Agency, the Bureau of Reclamation, the United States Geological Society, and other earth science disciplines. The Bachelor’s Degree program provides students with a broad-based theoretical

  13. The connecting health and technology study: a 6-month randomized controlled trial to improve nutrition behaviours using a mobile food record and text messaging support in young adults.

    Science.gov (United States)

    Kerr, Deborah A; Harray, Amelia J; Pollard, Christina M; Dhaliwal, Satvinder S; Delp, Edward J; Howat, Peter A; Pickering, Mark R; Ahmad, Ziad; Meng, Xingqiong; Pratt, Iain S; Wright, Janine L; Kerr, Katherine R; Boushey, Carol J

    2016-04-21

    Early adulthood represents the transition to independent living which is a period when changes in diet and body weight are likely to occur. This presents an ideal time for health interventions to reduce the effect of health problems and risk factors for chronic disease in later life. As young adults are high users of mobile devices, interventions that use this technology may improve engagement. The Connecting Health and Technology study aimed to evaluate the effectiveness of tailored dietary feedback and weekly text messaging to improve dietary intake of fruit, vegetables and junk food over 6 months among a population-based sample of men and women (aged 18-30 years). A three-arm, parallel, randomized control trial was conducted. After baseline assessments, participants were randomized to one of three groups: A) dietary feedback and weekly text messages, B) dietary feedback only or C) control group. Dietary intake was assessed using a mobile food record App (mFR) where participants captured images of foods and beverages consumed over 4-days at baseline and post-intervention. The primary outcomes were changes in serves of fruits, vegetables, energy-dense nutrient-poor (EDNP) foods and sugar-sweetened beverages (SSB). The intervention effects were assessed using linear mixed effect models for change in food group serves. Young adults (n = 247) were randomized to group A (n = 82), group B (n = 83), or group C (n = 82). Overall, no changes in food group serves for either intervention groups were observed. An unanticipated outcome was a mean weight reduction of 1.7 kg (P = .02) among the dietary feedback only. Men who received dietary feedback only, significantly reduced their serves of EDNP foods by a mean of 1.4 serves/day (P = .02). Women who received dietary feedback only significantly reduced their intake of SSB (P = .04) by an average of 0.2 serves/day compared with controls. Tailored dietary feedback only resulted in a decrease in EDNP

  14. 25 CFR 115.815 - How does a tribe request trust funds from a tribal trust account?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false How does a tribe request trust funds from a tribal trust account? 115.815 Section 115.815 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES TRUST FUNDS FOR TRIBES AND INDIVIDUAL INDIANS Tribal Accounts Withdrawing Tribal Trust Funds § 115.815 How does a tribe request trust...

  15. Dental caries and the associated factors influencing it in tribal, suburban and urban school children of Tamil Nadu, India: a cross sectional study.

    Science.gov (United States)

    John, J Baby; Asokan, Sharath; Aswanth, K P; Priya, P R Geetha; Shanmugaavel, A K

    2015-02-20

    The study was planned to assess the prevalence of dental caries among tribal, suburban and urban children of Tiruchengode and Erode of Tamil Nadu state, India. The objective of the study was to assess the association of dental caries with family background, dental service availability, transportation and knowledge on preventive dental measures among these three groups. Cross-sectional study. A total of 1028 school children in the age range of 9-12 years from various government schools located in Palamalai and Kolli Hills (tribal), Tiruchengode (suburban) and Erode (urban), Tamil Nadu, were included in the study. Decayed, filled, and missing teeth (DMFT), decayed and filled teeth (dft) and Significant Caries Index were recorded. A specially prepared questionnaire was used to record all the data regarding oral hygiene practices, socioeconomic background, dental treatment availability, parent's education level were used for the study. ANOVA t-test and post hoc test were used for comparing quantitative variables between the 3 subgroups. The tribal school children had 89.3% caries prevalence, where as it was 77% in suburban and 55% in urban school children. The mean DMFT score among tribal, suburban and urban school children were statistically significant different (P=0.001) between the three groups. There was a highly significant difference (P=0.001) in the mean DMFT score based on brushing frequency. There was a statistically significant difference (P=0.018) in the mean DMFT scores in the urban group based on the mothers education status. There were no statistically significant differences in the mean DMFT scores based on the presence or absence of television in their house and the parents' income. Oral hygiene practices, dietary habits and access to dental care services played an important role in prevalence of dental caries. It was observed that the socioeconomic status, parents' educational status and mass media influenced the oral health of these children but

  16. Nez Perce Tribal Hatchery Program : Draft Environmental Impact Statement.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration; Nez Perce Tribal Hatchery (Idaho).

    1996-06-01

    Bonneville Power Administration, the Bureau of Indian Affairs, the Nez Perce Tribe propose a supplementation program to restore chinook salmon to the Clearwater River Subbasin in Idaho. The Clearwater River is a tributary to the Snake River, which empties into the Columbia River. The Nez Perce Tribe would build and operate two central incubation and rearing hatcheries and six satellite facilities. Spring, summer and fall chinook salmon would be reared and acclimated to different areas in the Subbasin and released at the hatchery and satellite sites or in other watercourses throughout the Subbasin. The supplementation program differs from other hatchery programs because the fish would be released at different sizes and would return to reproduce naturally in the areas where they are released. Several environmental issues were identified during scoping: the possibility that the project would fail if mainstem Columbia River juvenile and adult passage problems are not solved; genetic risks to fish listed as endangered or threatened; potential impacts to wild and resident fish stocks because of increase competition for food and space; and water quality. The Proposed Action would affect several important aspects of Nez Perce tribal life, primarily salmon harvest, employment, and fisheries management.

  17. Colville Tribal Fish Hatchery, 2002-2003 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Fairgrieve, William; Christensen, David (Colville Confederated Tribes, Nespelem, WA)

    2004-04-01

    The Colville Tribal Hatchery produced 62,335 pounds of trout during the contract period, however, only 46,092 pounds were liberated to lakes and streams. The remaining production will be carried over to 2004 to be planted as larger fish into reservation waters for the lakes opener. New raceways were completed in November and brought on line in the spring. These raceways currently hold the redband rainbow brood stock and will be spawned in 2004. Efforts are continuing to capture redbands from other streams in coordination with the monitoring and evaluation program. Creel was expanded by hiring a second creel clerk to give better coverage of reservation waters by reducing travel time. Marking continues on all fish planted from CTH and refinements continue to be made. The first tag retention study has been completed and the second study is now underway to determine long term tag recognition. Lakes continue to be surveyed to complete the baseline analysis of all reservation lakes and will be completed in 2004.

  18. Tribal casinos in California: the last vestige of indoor smoking

    Science.gov (United States)

    2012-01-01

    Background High levels of airborne particles from secondhand smoke have been reported in California Indian casinos. Yet, little is known regarding the smoking status of casino patrons, their avoidance of secondhand smoke while visiting, and their views on a hypothetical smoking ban. Methods Predictors of visiting an Indian casino were assessed among participants of the 2008 California Tobacco Survey (n = 10, 397). Exposure to and avoidance of secondhand smoke were subsequently analyzed among a subset of participants who had visited a casino in the year prior to the survey (n = 3, 361). Results Ethnic minorities, older individuals, current smokers and residents of sparsely populated regions of California were more likely than other demographic groups to visit a tribal casino. Avoidance of secondhand smoke was more frequent among the never smokers than former and current smokers, particularly those who last visited a casino lacking physical separation between non-smoking and smoking sections. The never smokers versus current smokers disproportionately expressed a willingness to extend their stay and visit again if smoking were prohibited. Conclusions If casinos became smoke free, then it is anticipated that they would be visited by a significantly larger number of Californians, including both patrons and those who otherwise would not have visited a casino. PMID:22364487

  19. Tribal casinos in California: the last vestige of indoor smoking

    Directory of Open Access Journals (Sweden)

    Timberlake David S

    2012-02-01

    Full Text Available Abstract Background High levels of airborne particles from secondhand smoke have been reported in California Indian casinos. Yet, little is known regarding the smoking status of casino patrons, their avoidance of secondhand smoke while visiting, and their views on a hypothetical smoking ban. Methods Predictors of visiting an Indian casino were assessed among participants of the 2008 California Tobacco Survey (n = 10, 397. Exposure to and avoidance of secondhand smoke were subsequently analyzed among a subset of participants who had visited a casino in the year prior to the survey (n = 3, 361. Results Ethnic minorities, older individuals, current smokers and residents of sparsely populated regions of California were more likely than other demographic groups to visit a tribal casino. Avoidance of secondhand smoke was more frequent among the never smokers than former and current smokers, particularly those who last visited a casino lacking physical separation between non-smoking and smoking sections. The never smokers versus current smokers disproportionately expressed a willingness to extend their stay and visit again if smoking were prohibited. Conclusions If casinos became smoke free, then it is anticipated that they would be visited by a significantly larger number of Californians, including both patrons and those who otherwise would not have visited a casino.

  20. Nez Perce Tribal Hatchery Program. Draft environmental impact statement

    International Nuclear Information System (INIS)

    1996-06-01

    Bonneville Power Administration, the Bureau of Indian Affairs, and the Nez Perce Tribe propose a supplementation program to restore chinook salmon to the Clearwater River Subbasin in Idaho. The Clearwater River is a tributary to the Snake River, which empties into the Columbia River. The Nez Perce Tribe would build and operate two central incubation and rearing hatcheries and six satellite facilities. Several environmental issues were identified during scoping: the possibility that the project would fail if mainstem Columbia river juvenile and adult passage problems are not solved; genetic risks to fish listed as endangered or threatened; potential impacts to wild and resident fish stocks because of increased competition for food and space; and water quality. The Proposed Action would affect several important aspects of Nez Perce tribal life, primarily salmon harvest, employment, and fisheries management. Impacts to cultural resources can be avoided so impacts would be low. Soil impacts would be localized and their effects would be local and temporary during construction. Impacts to water quality would be low. Mitigation would be used if impacts to groundwater or surface water are greater than anticipated. No impacts to floodplains are expected. Impacts to all categories of fish range from no to high impacts

  1. Nez Perce Tribal Hatchery Program: Draft environmental impact statement

    International Nuclear Information System (INIS)

    1996-06-01

    Bonneville Power Administration, the Bureau of Indian Affairs, the Nez Perce Tribe propose a supplementation program to restore chinook salmon to the Clearwater River Subbasin in Idaho. The Clearwater River is a tributary to the Snake River, which empties into the Columbia River. The Nez Perce Tribe would build and operate two central incubation and rearing hatcheries and six satellite facilities. Spring, summer and fall chinook salmon would be reared and acclimated to different areas in the Subbasin and released at the hatchery and satellite sites or in other watercourses throughout the Subbasin. The supplementation program differs from other hatchery programs because the fish would be released at different sizes and would return to reproduce naturally in the areas where they are released. Several environmental issues were identified during scoping: the possibility that the project would fail if mainstem Columbia River juvenile and adult passage problems are not solved; genetic risks to fish listed as endangered or threatened; potential impacts to wild and resident fish stocks because of increase competition for food and space; and water quality. The Proposed Action would affect several important aspects of Nez Perce tribal life, primarily salmon harvest, employment, and fisheries management

  2. Continuous weeklong measurements of indoor particle levels in a Minnesota Tribal Casino Resort

    Directory of Open Access Journals (Sweden)

    Zheng Zhou

    2016-08-01

    Full Text Available Abstract Background Secondhand smoke (SHS exposure for workers and patrons in hospitality venues is a persistent and significant public health concern. We designed this study to provide a comprehensive assessment of SHS exposure inside an Indian Tribal Casino in Minnesota. Methods Real-time fine particulate matter (PM2.5 concentrations were measured at multiple locations for up to 7 days. The field monitoring provided information on the day of week and time of day variation of SHS exposure, as well as comparisons between smoking and non-smoking areas. Results Indoor PM2.5 level was nearly 13 times the concurrent outdoor PM2.5 level. Gaming floor hourly PM2.5 level was highest on Saturday night, averaged at 62.9 μg/m3. Highest PM2.5 concentration was observed in smoking-permitted employee break room, reaching 600 μg/m3. PM2.5 readings in non-smoking sections exhibited same temporal pattern as the readings in smoking sections. Conclusions The results show that indoor concentration of PM2.5 is substantially higher than the outdoor level, posing health risks to casino workers and patrons. SHS can migrate into adjacent non-smoking areas very quickly. The casino’s ventilation system did not fully eliminate SHS. A completely smoke-free casino would be the only way to fully protect non-smoking patrons and employees from the dangers of tobacco smoke.

  3. Neurological Manifestations in Leprosy: A Study in Tribal Community of Hill Tracts

    Directory of Open Access Journals (Sweden)

    Ahmed Tanjimul Islam

    2016-01-01

    Full Text Available Background: Leprosy is a chronic granulomatous infectious disease having major burden on humans over thousands of years. If untreated, it results in permanent damage to various systems and organs. So we designed this study to evaluate the neurological complications in early stage in adult leprosy patients. Objective: The aim of this study was to find out the pattern of neurological manifestations among adult leprosy patients. Materials and Methods: This cross-sectional hospital-based study on 85 adult tribal leprosy patients was conducted in a district level health care facility from January to December 2014 using simple, direct, standardized questionnaire including history and neurological examinations. Results: The commonest age group affected was 18–30 years (62.4%. Male group was predominant (68.2%. Majority cases (66% had multibacillary leprosy. At first visit 72.7% cases with neurological findings could not be diagnosed correctly by primary health care personnel. More than six months were required for correct diagnosis in 61.2% cases. Numbness was the commonest (74.5% neurological symptom. In upper limb, motor findings were predominant with wasting in 50.9% cases. In lower limb, sensory findings were predominant with stock pattern sensory impairment being the commonest (56.4%. Ulnar nerve was the commonest peripheral nerve to enlarge with tenderness. Facial nerve was the commonest cranial nerve involved. All cases with multiple cranial nerves involvement were of multibacillary type. Due to physical disability 92.7% cases lost their jobs. Conclusion: In this study neurological involvement was found associated with severe disability.

  4. Connecting Vietnam's isolated communities to improve healthcare ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2018-01-29

    Jan 29, 2018 ... Connecting Vietnam's isolated communities to improve healthcare ... of pregnancy and new motherhood improved their interactions with health workers. ... Return to main page: Overcoming eHealth challenges with social and ...

  5. Minimum cost connection networks

    DEFF Research Database (Denmark)

    Hougaard, Jens Leth; Tvede, Mich

    In the present paper we consider the allocation of cost in connection networks. Agents have connection demands in form of pairs of locations they want to be connected. Connections between locations are costly to build. The problem is to allocate costs of networks satisfying all connection demands...

  6. “Jordan First”: Tribalism, Nationalism and Legitimacy of Power in Jordan

    Directory of Open Access Journals (Sweden)

    Mohammed Ali Al Oudat

    2010-06-01

    Full Text Available Abstract: The significance of tribal identity in Jordan can be seen in the special relationship of traditional institutions with the state, which shows both the fluctuation in the concept of tribalism and how tribalism can be better understood by viewing it through the perspective of “Jordanian nationalism”. This relationship has created confusion on the local and national levels about how the state system should work through its institutions. Furthermore, the process of democratization is only a façade; Jordan is supposedly a constitutional monarchy, but in fact the king holds absolute power. The parliament’s autonomy has been minimal, in other words, the parliament is a symbol of democracy but is widely perceived as non-representative. This paper examines the regime security strategy “Jordan First” and the particularity of Jordanian identity through its relationship to the concept of a Jordanian national consensus.

  7. 78 FR 68839 - Tribal Mobility Fund Phase I Auction Rescheduled for February 25, 2014; Notice of Changes to...

    Science.gov (United States)

    2013-11-15

    ... FEDERAL COMMUNICATIONS COMMISSION [AU Docket No. 13-53; DA 13-2057] Tribal Mobility Fund Phase I Auction Rescheduled for February 25, 2014; Notice of Changes to Auction 902 Schedule Following Resumption... up to $50 million in one-time Tribal Mobility Fund Phase I support, will be conducted on February 25...

  8. A Special Issue of the Journal of Forestry—Tribal Forest Management: Innovations for Sustainable Forest Management

    Science.gov (United States)

    Michael J. Dockry; Serra J. Hoagland

    2017-01-01

    Native American forests and tribal forest management practices have sustained indigenous communities, economies, and resources for millennia. These systems provide a wealth of knowledge and successful applications of long-term environmental stewardship and integrated, sustainable forest management. Tribal forestry has received an increasing amount of attention from...

  9. 45 CFR 309.170 - What statistical and narrative reporting requirements apply to Tribal IV-D programs?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false What statistical and narrative reporting... (IV-D) PROGRAM Statistical and Narrative Reporting Requirements § 309.170 What statistical and narrative reporting requirements apply to Tribal IV-D programs? (a) Tribes and Tribal organizations...

  10. 45 CFR 310.5 - What options are available for Computerized Tribal IV-D Systems and office automation?

    Science.gov (United States)

    2010-10-01

    ... IV-D Systems and office automation? 310.5 Section 310.5 Public Welfare Regulations Relating to Public... AUTOMATION Requirements for Computerized Tribal IV-D Systems and Office Automation § 310.5 What options are available for Computerized Tribal IV-D Systems and office automation? (a) Allowable computerized support...

  11. 45 CFR 310.40 - What requirements apply for accessing systems and records for monitoring Computerized Tribal IV-D...

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false What requirements apply for accessing systems and records for monitoring Computerized Tribal IV-D Systems and Office Automation? 310.40 Section 310.40... COMPUTERIZED TRIBAL IV-D SYSTEMS AND OFFICE AUTOMATION Accountability and Monitoring Procedures for...

  12. 45 CFR 310.35 - Under what circumstances would emergency FFP be available for Computerized Tribal IV-D Systems?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Under what circumstances would emergency FFP be... AND OFFICE AUTOMATION Funding for Computerized Tribal IV-D Systems and Office Automation § 310.35 Under what circumstances would emergency FFP be available for Computerized Tribal IV-D Systems? (a...

  13. 45 CFR 310.30 - Under what circumstances would FFP be suspended or disallowed in the costs of Computerized Tribal...

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Under what circumstances would FFP be suspended or... SYSTEMS AND OFFICE AUTOMATION Funding for Computerized Tribal IV-D Systems and Office Automation § 310.30 Under what circumstances would FFP be suspended or disallowed in the costs of Computerized Tribal IV-D...

  14. 25 CFR 900.51 - What is an Indian tribe or tribal organization's property management system expected to do?

    Science.gov (United States)

    2010-04-01

    ... Systems Property Management System Standards § 900.51 What is an Indian tribe or tribal organization's... 25 Indians 2 2010-04-01 2010-04-01 false What is an Indian tribe or tribal organization's property management system expected to do? 900.51 Section 900.51 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE...

  15. 25 CFR 900.48 - If the Indian tribe or tribal organization does not propose different standards, what basic...

    Science.gov (United States)

    2010-04-01

    ... EDUCATION ASSISTANCE ACT Standards for Tribal or Tribal Organization Management Systems Procurement... procurement supported by Federal funds if a conflict of interest, real or apparent, would be involved. (2) An... that is not substantial or a gift that is an unsolicited item of nominal value. (3) These standards...

  16. 25 CFR 170.412 - How is the tribal IRR long-range transportation plan developed and approved?

    Science.gov (United States)

    2010-04-01

    ...-range transportation plan developed and approved? (a) The tribal IRR long-range transportation plan is... 25 Indians 1 2010-04-01 2010-04-01 false How is the tribal IRR long-range transportation plan developed and approved? 170.412 Section 170.412 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR...

  17. 26 CFR 31.3402(r)-1 - Withholding on distributions of Indian gaming profits to tribal members.

    Science.gov (United States)

    2010-04-01

    ... profits to tribal members. 31.3402(r)-1 Section 31.3402(r)-1 Internal Revenue INTERNAL REVENUE SERVICE... TAXES AND COLLECTION OF INCOME TAX AT SOURCE Collection of Income Tax at Source § 31.3402(r)-1 Withholding on distributions of Indian gaming profits to tribal members. (a) (1) General rule. Section 3402(r...

  18. Escaping social-ecological traps through tribal stewardship on national forest lands in the Pacific Northwest, United States of America

    Science.gov (United States)

    Jonathan W. Long; Frank K. Lake

    2018-01-01

    Tribal communities in the Pacific Northwest of the United States of America (USA) have long-standing relationships to ancestral lands now managed by federal land management agencies. In recent decades, federal and state governments have increasingly recognized tribal rights to resources on public lands and to participate in their management. In support of a new...

  19. 25 CFR 166.100 - What special tribal policies will we apply to permitting on Indian agricultural lands?

    Science.gov (United States)

    2010-04-01

    ... preferences in permits advertised for bid under § 166.221 of this part, by allowing prospective Indian operators to match the highest responsible bid (unless the tribal law or leasing policy specifies some other... THE INTERIOR LAND AND WATER GRAZING PERMITS Tribal Policies and Laws Pertaining to Permits § 166.100...

  20. 45 CFR 309.75 - What administrative and management procedures must a Tribe or Tribal organization include in a...

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false What administrative and management procedures must... ENFORCEMENT (IV-D) PROGRAM Tribal IV-D Plan Requirements § 309.75 What administrative and management... must include in its Tribal IV-D plan the administrative and management provisions contained in this...